Organization · Type 2 NPI
TLC Primary Care LLC
Primary Care Nurse Practitioner · Ooltewah, TN
NPI number
1659780005
Active
Practice location
9457 David Smith Ln, Suite 105
Ooltewah, TN 37363-7292
Fax (423) 238-6565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 48915 (TN) |
| Primary Care Nurse Practitioner | 363LP2300X | APN0000005112 (TN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | F0613640 (TN) |
Primary Care Nurse Practitioner: Definition to come...
4 other providers at this address
Other primary care nurse practitioner providers in Ooltewah
About NPI 1659780005
TLC Primary Care LLC's National Provider Identifier is 1659780005, issued on Aug 11, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Ooltewah, TN. The record was last updated on Aug 11, 2014.