Individual provider · Type 1 NPI

Casey Baxter-Wilms

Primary Care Nurse Practitioner · Chattanooga, TN

NPI number 1205558541 Active

Practice location

620 E 11th St
Chattanooga, TN 37403-3101

Fax (423) 770-9081

Mailing address

1908 Oak St
Chattanooga, TN 37404-2632

Specialties and licenses

TaxonomyCodeLicense
Adult Health Clinical Nurse Specialist 364SA2200X32592 (TN)
Primary Care Nurse Practitioner Primary 363LP2300X32592 (TN)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1205558541

Casey Baxter-Wilms's National Provider Identifier is 1205558541, issued on Sep 14, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chattanooga, TN. The record was last updated on Jun 18, 2025.