Strother, Sue Davis

Strother, Sue Davis is an individual health care provider with primary practice located at 4980 Alpha Ln , Hixson TN 37343-5470. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Strother, Sue Davis can be contacted via phone (423) 870-2450.

Contact Information

Primary practice address
4980 Alpha Ln Hixson TN 37343-5470
Phone: (423) 870-2450
Fax: (423) 877-5208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 05415 Tennessee

Profile Details

NPI number 1902870496
LBN Legal business name Strother, Sue Davis
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Nov 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902870496 NPPES
Tennessee MEDICAID Q026953

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