Provider Demographics
NPI:1437493277
Name:HARLIN, CHAD (GNP-BC)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:HARLIN
Suffix:
Gender:M
Credentials:GNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 PROSPECT CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-8448
Mailing Address - Country:US
Mailing Address - Phone:423-645-2481
Mailing Address - Fax:
Practice Address - Street 1:3811 PROSPECT CHURCH RD
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-8448
Practice Address - Country:US
Practice Address - Phone:423-645-2481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN124027163WG0600X
TN33674363LG0600X
GAGAA-NP003042363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WG0600XNursing Service ProvidersRegistered NurseGerontology