Healthcare Provider Details

I. General information

NPI: 1053739193
Provider Name (Legal Business Name): LISA SCHWEICH FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2014
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 MARKET ST
CHATTANOOGA TN
37402-2863
US

IV. Provider business mailing address

1110 MARKET ST
CHATTANOOGA TN
37402-2863
US

V. Phone/Fax

Practice location:
  • Phone: 423-602-9530
  • Fax: 772-727-3730
Mailing address:
  • Phone: 423-602-9530
  • Fax: 772-727-3730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18648
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: