Provider Demographics
NPI:1598648651
Name:TALLANT, JOSEPH (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:TALLANT
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:TALLANT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:9003 EDGEWATER RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-1304
Mailing Address - Country:US
Mailing Address - Phone:423-903-4050
Mailing Address - Fax:
Practice Address - Street 1:9003 EDGEWATER RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416-1304
Practice Address - Country:US
Practice Address - Phone:423-903-4050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN164932363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health