NPI 1144689456

Ian Mall

Practitioner Home Health Clinical Nurse Specialist Ooltewah, TN

Practice location

Address: 9981 Forrest Dr, Ooltewah, TN 37363-8300
Phone: (423) 362-8192

Registered specialties

Home Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SH0200X Licence 20836 (TN)

Other Clinical Nurse Specialist providers in Tennessee →

Registry record

NPI: 1144689456
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2016
Record last updated: 15 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.