person
Ian Mall
Home Health Clinical Nurse Specialist in Ooltewah, Tennessee
NPI 1144689456

Ian Mall is a Home Health Clinical Nurse Specialist based in Ooltewah, TN and is specialized in Home Health. Ian Mall practices in Ooltewah, TN. The NPI Number for Ian Mall is 1144689456 and holds a License No. 20836 (Tennessee).

The current practice location address for Ian Mall is 9981 Forrest Dr, Ooltewah, TN and can be reached out via phone at 423-362-8192. You can also correspond with Ian Mall through the mailing address at 9981 FORREST DR, OOLTEWAH, TN - 37363-8300 (mailing address contact number: 423-362-8192).

Location: 9981 Forrest Dr, Ooltewah, TN, 37363-8300
person
Provider Profile Details
NPI Number
1144689456
Provider Name
Ian Mall
Credential
Provider Entity Type
Individual
Gender
Male
Address
9981 Forrest Dr, Ooltewah, TN, 37363-8300
Phone Number
423-362-8192
Fax Number
Provider Enumeration Date
02/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9981 Forrest Dr
City
State
Zip
37363-8300
Phone Number
423-362-8192
Fax Number
person
Provider Business Mailing Address Details
Address
9981 Forrest Dr
City
State
Zip
37363-8300
Phone Number
423-362-8192
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Home Health
Taxonomy
License No.
20836 (Tennessee)
Definition
Definition to come...
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