Healthcare Provider Details

I. General information

NPI: 1881994242
Provider Name (Legal Business Name): LORI M DENNY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 12/29/2021
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 DORCHESTER RD STE 117
CHATTANOOGA TN
37405-4432
US

IV. Provider business mailing address

1301 DORCHESTER RD STE 117
CHATTANOOGA TN
37405-4432
US

V. Phone/Fax

Practice location:
  • Phone: 423-267-5060
  • Fax:
Mailing address:
  • Phone: 423-267-5060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number3337762
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN 3337762
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN3337762
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: