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)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