Healthcare Provider Details

I. General information

NPI: 1710773445
Provider Name (Legal Business Name): RYANN DAVIDSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RYANN SATTERFIELD

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 E 11TH ST
CHATTANOOGA TN
37403-3101
US

IV. Provider business mailing address

513 YOUNG AVE
CHATTANOOGA TN
37405-4239
US

V. Phone/Fax

Practice location:
  • Phone: 423-481-9760
  • Fax:
Mailing address:
  • Phone: 423-619-1051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number245998
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number40029
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: