Bagwell, Jennifer Leigh
Bagwell, Jennifer Leigh is an individual health care provider with primary practice located at 375 Alfred Thun Rd , Clarksville TN 37040-5339. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Bagwell, Jennifer Leigh can be contacted via phone (931) 221-0479.Contact Information
Primary practice address
375 Alfred Thun Rd
Clarksville TN 37040-5339
Phone: (931) 221-0479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 31956 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 31956 | Tennessee |
Profile Details
| NPI number | 1144954603 |
|---|---|
| LBN Legal business name | Bagwell, Jennifer Leigh |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2022 |
| Last updated | Feb 22nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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