Carla Jean Horton

Individual provider Active NPI Community Health Registered Nurse · Soddy Daisy, TN

NPI 1306197967 · NPPES record last updated Sep 24, 2012

Key facts

NPI
1306197967
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
176840 (TN)
Practice address
9527 W Ridge Trail Rd
Soddy Daisy, TN 37379-4018
Phone
(423) 842-3031
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
176840TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 176840 TN Yes

Addresses

Primary practice location

9527 W Ridge Trail Rd
Soddy Daisy, TN 37379-4018

Mailing address

175 Trotter Rd
Grandview, TN 37337-5546
Phone (423) 365-4042

Other providers in Soddy Daisy, TN

All providers in Soddy Daisy, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.