Antoinette Dupree
Individual provider Active NPI Driver · Chattanooga, TN
NPI 1700630407 · NPPES record last updated Apr 17, 2024
Key facts
- NPI
- 1700630407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 094494281 (TN)
- Practice address
- 3116 4TH Ave
Chattanooga, TN 37407-1517 - Phone
- (423) 994-1379
- NPI assigned
- Apr 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094494281 | TN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Joy Transportation LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 094494281 | TN | Yes |
Addresses
Primary practice location
3116 4TH Ave
Chattanooga, TN 37407-1517
Mailing address
3116 4TH Ave
Chattanooga, TN 37407-1517
Phone (423) 994-1379
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.