Provider Demographics
NPI:1326010729
Name:MURCHISON, KATHERINE (NP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MURCHISON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21867
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37424-0867
Mailing Address - Country:US
Mailing Address - Phone:423-899-0500
Mailing Address - Fax:423-899-2411
Practice Address - Street 1:1624 GUNBARREL RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3151
Practice Address - Country:US
Practice Address - Phone:423-899-0500
Practice Address - Fax:423-899-2411
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 8038363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4090245OtherBLUECROSSBLUESHIELD OF TN
TNTN0102OtherJOHN DEERE HEALTH
TN4090245OtherBLUECROSSBLUESHIELD OF TN
TNQ10739Medicare UPIN