Provider Demographics
NPI:1245760347
Name:CHAIGNE, JANELLE SUZANNE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:SUZANNE
Last Name:CHAIGNE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:SUZANNE
Other - Last Name:EDMONDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:7405 SHALLOWFORD RD STE 230
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-7632
Mailing Address - Country:US
Mailing Address - Phone:423-208-8099
Mailing Address - Fax:855-305-1008
Practice Address - Street 1:5511 VIRGINIA WAY
Practice Address - Street 2:STE 300
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7611
Practice Address - Country:US
Practice Address - Phone:615-994-1000
Practice Address - Fax:615-994-0100
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187669363LP0808X
TN22974363LP0808X
OR202110418NP-PP363LP0808X
MTNUR-APRN-LIC-178407363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health