Male or Other

Mr. Jared D. Coston AGACNP-BC

Acute Care Nurse Practitioner in Chattanooga, TN(View on Map)

Full Name

Mr. Jared Daniel Coston AGACNP-BC

NPI Number

1225698061

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/14/2019

Specialties

(Taxonomies)

Code

363LA2100X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

25536

Contact
Information

Purpose

Mailing
Location

Address

621 MEMORIAL DR APT 1706
975 E 3RD ST

City

Chattanooga
Chattanooga

State

TN
TN

Postal Code

37415-5526
37403-2147

Country

US
US

Telephone Number

(336) 816-0087
(423) 778-9001

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/14/2019

Provider Address

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