Individual provider · Type 1 NPI

Mark Edward Childress, DNP

Acute Care Nurse Practitioner · Chattanooga, TN

NPI number 1386368736 Active

Practice location

2333 Mccallie Ave
Chattanooga, TN 37404-3258

Mailing address

931 Polo Pl
Chattanooga, TN 37405-3041

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X32473 (TN)
Acute Care Nurse Practitioner Primary 363LA2100X32473 (TN)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1386368736

Mark Edward Childress, DNP's National Provider Identifier is 1386368736, issued on Sep 29, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Chattanooga, TN. The record was last updated on Sep 29, 2022.