Provider Demographics
NPI:1639345911
Name:CHASE, SHIRLEEN D (NP)
Entity Type:Individual
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First Name:SHIRLEEN
Middle Name:D
Last Name:CHASE
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Gender:F
Credentials:NP
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Mailing Address - Street 1:1949 GUNBARREL ROAD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421
Mailing Address - Country:US
Mailing Address - Phone:423-495-4349
Mailing Address - Fax:423-495-4934
Practice Address - Street 1:725 GLENWOOD DRIVE
Practice Address - Street 2:SUITE E-486
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421
Practice Address - Country:US
Practice Address - Phone:615-322-2391
Practice Address - Fax:615-343-4598
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2017-03-14
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Provider Licenses
StateLicense IDTaxonomies
TN6224363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health