Provider Demographics
NPI:1881204501
Name:MOFIELD, CARRIE ANN (MSN,ARNP,FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:ANN
Last Name:MOFIELD
Suffix:
Gender:F
Credentials:MSN,ARNP,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8066 CHESHIRE LN
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1110
Mailing Address - Country:US
Mailing Address - Phone:740-506-3756
Mailing Address - Fax:
Practice Address - Street 1:725 GLENWOOD DR STE E780
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1177
Practice Address - Country:US
Practice Address - Phone:423-697-0072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33533363LF0000X
OHF07201077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily