Doctor Name: | KATELYN T DOWLEN |
NPI Number: | 1013287044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNP |
License Number: | A810437 |
Business Practice Address: | 2501 Citico Ave Chattanooga, TN - 374041127 |
Business Phone Number: | 4236972000 |
Business Fax Number: | 4236972118 |
Mailing Address: | 2501 Citico Ave, CHATTANOOGA |
State: | TN |
Postal Code: | 374041127 |
Phone Number: | 4236972000 |
Fax Number: | 4236972118 |
NPI Enumeration Date: | 01/06/2012 |
NPI Last Update Date: | 02/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | A810437 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |