Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 16234 | TN |
N | 363LA2100X | Nurse Practitioner - Acute Care | A810437 | MS |
NPI | 1013287044 |
---|---|
Provider Name | Katelyn T Dowlen |
First Address | Chattanooga, TN 37404-1127 |
Second Address | Chattanooga, TN 37404-1127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2012 |
Last Update Date | 29/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16234 | TN APN (01) | TN |
171110 | TN RN (01) | TN |