Healthcare Provider Details

I. General information

NPI: 1174589873
Provider Name (Legal Business Name): SANDEE I HOLMES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

428 YATES SPRINGS RD
RINGGOLD GA
30736-7727
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-6170
  • Fax: 426-778-6938
Mailing address:
  • Phone: 423-778-6170
  • Fax: 423-778-6938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPRN143164
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPN0000010710
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPN0000010710
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: