Individual
MS. ERIN ELIZABETH FAGOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP
Contact information
Practice address
300 STONECREST BLVD STE 310, SMYRNA, TN 37167-6801
(629) 206-6858
(931) 372-8839
Mailing address
300 STONECREST BLVD STE 310, SMYRNA, TN 37167-6801
(629) 206-6858
(931) 372-8839
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
22199
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I500498
MEDICARE
TN
01
—
6094166
BCBS
TN
05
—
Q026872
—
TN
Enumeration date
01/31/2017
Last updated
03/17/2025
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