Huisman, Ronda Lynn
Huisman, Ronda Lynn is an individual health care provider with primary practice located at 6055 Shallowford Rd , Chattanooga TN 37421. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Huisman, Ronda Lynn can be contacted via phone (423) 266-6751.Contact Information
Primary practice address
6055 Shallowford Rd
Chattanooga TN 37421
Phone: (423) 266-6751
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN14532 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 14532 | Tennessee |
Profile Details
NPI number | 1194943449 |
---|---|
LBN Legal business name | Huisman, Ronda Lynn |
Credentials | FNP-BC, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2007 |
Last updated | Mar 1st, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194943449 | NPPES |
Tennessee | MEDICAID | Q004664 |
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