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NPI Code Detail

MEDICARE: JOHN POUND FNP-C

MEDICARE: JOHN POUND FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LC1500XCommunity Health Nurse PractitionerF02210836TN

General Provider Information

NPI Number : 1467046789
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN POUND FNP-C
Provider Business Mailing Address
First Line : 802 SNOW ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37405-3533
Country : US
Telephone Number : 423-314-3555
Fax Number :
Provider Business Practice Location Address
First Line : 975 E 3RD ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-2163
Country : US
Telephone Number : 423-778-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2021
Last Update Date : 02/26/2021

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