Healthcare Provider Details

I. General information

NPI: 1295369957
Provider Name (Legal Business Name): VARSHA VERA WHITMORE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 DORCHESTER RD
CHATTANOOGA TN
37405-4430
US

IV. Provider business mailing address

1301 DORCHESTER RD
CHATTANOOGA TN
37405-4430
US

V. Phone/Fax

Practice location:
  • Phone: 423-267-5060
  • Fax:
Mailing address:
  • Phone: 866-289-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN229133
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000030466
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: