STACEY POLLOM
Nurse Practitioner
Active
Individual
NPI: 1306379631
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 95104604 (CA) |
| Nurse Practitioner | 363L00000X | Yes | 27095 (TN) |
Frequently Asked Questions
NPI 1306379631 is the National Provider Identifier for STACEY POLLOM, a Nurse Practitioner provider located in Chattanooga, TN. This NPI was enumerated on April 4, 2017.
STACEY POLLOM practices at 300 CHEROKEE BLVD STE 110, Chattanooga, TN 37405.
Quick Facts
- NPI
- 1306379631
- Type
- Individual
- Enumerated
- Apr 4, 2017
- Last Updated
- Feb 20, 2024
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