Provider Demographics
NPI:1295388841
Name:BINOY, ANN MERCY
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MERCY
Last Name:BINOY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SATHYAVATHY
Other - Middle Name:THOMAS
Other - Last Name:PALLIKIZHAKETHIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:6891 ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1752
Mailing Address - Country:US
Mailing Address - Phone:678-361-6984
Mailing Address - Fax:
Practice Address - Street 1:425 CUMBERLAND ST # 110
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1909
Practice Address - Country:US
Practice Address - Phone:423-698-0802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily