Healthcare Provider Details

I. General information

NPI: 1649128463
Provider Name (Legal Business Name): NOELLE KATE MANERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 SPRING CREEK RD
CHATTANOOGA TN
37412-3913
US

IV. Provider business mailing address

461 21ST AVE S
NASHVILLE TN
37240-1104
US

V. Phone/Fax

Practice location:
  • Phone: 423-553-5999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1649128463
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number289268
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: