Provider Demographics
NPI:1154182228
Name:WARREN, ISABEL PERRY (PA)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:PERRY
Last Name:WARREN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:4976 ALPHA LN
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5470
Mailing Address - Country:US
Mailing Address - Phone:423-497-5355
Mailing Address - Fax:423-308-0281
Practice Address - Street 1:1726 GUNBARREL RD STE 200
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-4754
Practice Address - Country:US
Practice Address - Phone:423-954-9017
Practice Address - Fax:423-498-1597
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN5844363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant