Healthcare Provider Details

I. General information

NPI: 1902612492
Provider Name (Legal Business Name): THE NEST CHATTANOOGA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5438 BRYAR ROSE DR
OOLTEWAH TN
37363-6529
US

IV. Provider business mailing address

5438 BRYAR ROSE DR
OOLTEWAH TN
37363-6529
US

V. Phone/Fax

Practice location:
  • Phone: 423-749-2725
  • Fax: 423-704-9274
Mailing address:
  • Phone: 423-749-2725
  • Fax: 423-704-9274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LYNN BYRD
Title or Position: CPM-TN
Credential: MIDWIFE
Phone: 423-743-2725