Ian Mall
Ian Mall is a Home Health Clinical Nurse Specialist in Ooltewah, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2016
Practice location Address checks out
9981 Forrest DrOoltewah, TN 37363-8300
Phone: (423) 362-8192
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Clinical Nurse Specialist (primary) | Taxonomy 364SH0200X · Licence 20836 (TN) |
|---|
Record details
| NPI number | 1144689456 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 15, 2016 |
| Last updated in NPPES | February 15, 2016 |
| Mailing address | 9981 Forrest Dr, Ooltewah, TN 37363-8300 |