Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 21602 | TN |
NPI | 1003362633 |
---|---|
Provider Name | Janet Leigh Zarzour |
First Address | Chattanooga, TN 37421-1956 |
Second Address | Cleveland, TN 37312-4309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 02/05/2018 |