Healthcare Provider Details

I. General information

NPI: 1386163681
Provider Name (Legal Business Name): ELIZABETH AINE QUARLES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH A MOORE-JONES

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5779 BRAINERD RD
CHATTANOOGA TN
37411-4011
US

IV. Provider business mailing address

5779 BRAINERD RD
CHATTANOOGA TN
37411-4011
US

V. Phone/Fax

Practice location:
  • Phone: 423-800-7500
  • Fax: 423-800-7501
Mailing address:
  • Phone: 423-800-7500
  • Fax: 423-800-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23153
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: