ANSLEY JOHNSON MADOLE
NPI 1144084146
Nurse Practitioner - Family in Ooltewah, TN
Active since February 09, 2024
About Ansley Johnson Madole NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANSLEY JOHNSON MADOLE (NPI 1144084146) is an individual family provider in Ooltewah, Tennessee, licensed in Tennessee (35687) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1144084146
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANSLEY JOHNSON MADOLE
Location Address9447 BRADMORE LN STE 201Ooltewah, TN 37363-8236
Mailing Address350 Waterwalk Pl Apt 116Chattanooga, TN 37406-1844
Phone(423) 661-3244
Sole ProprietorYes
Enumeration DateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
✔ NPI 1144084146 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 35687
9447 BRADMORE LN STE 201, Ooltewah, TN 37363
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144084146, enumerated as an "individual" on February 09, 2024.
The provider is located at 9447 BRADMORE LN STE 201 OOLTEWAH, TN 37363 and the phone number is (423) 661-3244.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
