Healthcare Provider Details

I. General information

NPI: 1497317937
Provider Name (Legal Business Name): JOAN CATE BANG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2019
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

961 SPRING CREEK RD
CHATTANOOGA TN
37412-3959
US

IV. Provider business mailing address

1275 DICK LONAS RD UNIT 101
KNOXVILLE TN
37909-1383
US

V. Phone/Fax

Practice location:
  • Phone: 423-892-2221
  • Fax: 833-450-4988
Mailing address:
  • Phone: 865-584-4747
  • Fax: 706-639-9057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN241243
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number37117
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: