Healthcare Provider Details

I. General information

NPI: 1386451722
Provider Name (Legal Business Name): CHELSEA BEDDOE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA HONKONEN

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4589 RHEA COUNTY HWY
DAYTON TN
37321-6076
US

IV. Provider business mailing address

100 DELRAY AVE
CHATTANOOGA TN
37405-1304
US

V. Phone/Fax

Practice location:
  • Phone: 423-428-9550
  • Fax:
Mailing address:
  • Phone: 423-320-2746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number32594
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: