Healthcare Provider Details

I. General information

NPI: 1295119774
Provider Name (Legal Business Name): PATRICK GEE FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 FOOTHILL DR MAIL STOP 111 BC
SALT LAKE CITY UT
84148-0001
US

IV. Provider business mailing address

6401 SHALLOWFORD RD
CHATTANOOGA TN
37421-5406
US

V. Phone/Fax

Practice location:
  • Phone: 801-582-1565
  • Fax: 801-588-5878
Mailing address:
  • Phone: 423-893-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number0000034642
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0000251332
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: