Healthcare Provider Details

I. General information

NPI: 1740727593
Provider Name (Legal Business Name): KIRSTEN NOLAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WEST MLK BLVD #1108
CHATTANOOGA TN
37402
US

IV. Provider business mailing address

601 E DIXIE AVE SUITE 1001
LEESBURG FL
34748-5953
US

V. Phone/Fax

Practice location:
  • Phone: 423-299-2003
  • Fax:
Mailing address:
  • Phone: 352-787-9448
  • Fax: 352-787-3250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number9343651
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number36619
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: