Provider Demographics
NPI:1902612492
Name:THE NEST CHATTANOOGA, LLC
Entity type:Organization
Organization Name:THE NEST CHATTANOOGA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPM-TN
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:MIDWIFE
Authorized Official - Phone:423-743-2725
Mailing Address - Street 1:5438 BRYAR ROSE DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6529
Mailing Address - Country:US
Mailing Address - Phone:423-749-2725
Mailing Address - Fax:423-704-9274
Practice Address - Street 1:5438 BRYAR ROSE DR
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-6529
Practice Address - Country:US
Practice Address - Phone:423-749-2725
Practice Address - Fax:423-704-9274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty