Healthcare Provider Details

I. General information

NPI: 1982667382
Provider Name (Legal Business Name): CHRISTY ELIZABETH PHILLIPS CNNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 03/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 E 3RD ST SUITE 300
CHATTANOOGA TN
37403-2136
US

IV. Provider business mailing address

979 E 3RD ST SUITE 300
CHATTANOOGA TN
37403-2136
US

V. Phone/Fax

Practice location:
  • Phone: 423-267-0466
  • Fax:
Mailing address:
  • Phone: 423-267-0466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPN10955
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPN0000010955
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: