Provider Demographics
NPI:1447709845
Name:ARNOLD, KATIE LEE (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MISS
First Name:KATIE
Middle Name:LEE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 16TH AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-1036
Mailing Address - Country:US
Mailing Address - Phone:423-775-6933
Mailing Address - Fax:423-775-3372
Practice Address - Street 1:220 J L WHITE DR STE 100
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-4894
Practice Address - Country:US
Practice Address - Phone:706-253-8001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-26
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21853363LF0000X
GARN294208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily