Porter, Laura L

Porter, Laura L is an individual health care provider with primary practice located at 615 Derby St Attention: Hcs Hi&R, Chattanooga TN 37404-1632. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Porter, Laura L can be contacted via phone (423) 493-2906.

Contact Information

Primary practice address
615 Derby St Attention: Hcs Hi&R Chattanooga TN 37404-1632
Phone: (423) 493-2906
Fax: (423) 493-2950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 70783 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN0000006060 Tennessee

Profile Details

NPI number 1881696417
LBN Legal business name Porter, Laura L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Feb 12th, 2013 - about 11 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881696417 NPPES
Tennessee MEDICAID 3902601
Tennessee Other P33828
Tennessee Other 4020701

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