Individual provider · Type 1 NPI
Stephanie Nidiffer
Pediatric Nurse Practitioner · Chattanooga, TN
NPI number
1508408956
Active
Practice location
3328 Jenkins Rd Ste 200
Chattanooga, TN 37421-1298
Mailing address
7013 Genoa Dr
Chattanooga, TN 37421-5747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 24120 (TN) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1508408956
Stephanie Nidiffer's National Provider Identifier is 1508408956, issued on Oct 16, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chattanooga, TN. The record was last updated on Oct 16, 2019.