Individual provider · Type 1 NPI
Stacey Pollom
Nurse Practitioner · Chattanooga, TN
Practice location
300 Cherokee Blvd Ste 110
Chattanooga, TN 37405-4467
Mailing address
4705 Alabama Ave
Chattanooga, TN 37409-1708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95104604 (CA) |
| Nurse Practitioner Primary | 363L00000X | 27095 (TN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1306379631
Stacey Pollom's National Provider Identifier is 1306379631, issued on Apr 4, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chattanooga, TN. The record was last updated on Feb 20, 2024.