Provider Demographics
NPI:1124668389
Name:FESMIRE, ERIN (NP-C)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:FESMIRE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:SEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1110 MARKET ST STE 502
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-3310
Mailing Address - Country:US
Mailing Address - Phone:423-455-8982
Mailing Address - Fax:770-727-3730
Practice Address - Street 1:1110 MARKET ST STE 502
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-3310
Practice Address - Country:US
Practice Address - Phone:423-455-8982
Practice Address - Fax:770-727-3730
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000026234363L00000X
TN26234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily