Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN0000018990 | TN |
NPI | 1003216623 |
---|---|
Provider Name | Rachel Burchell Webb |
First Address | Chattanooga, TN 37404-3256 |
Second Address | Chattanooga, TN 37404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2014 |
Last Update Date | 28/03/2017 |