Individual
MR. KERMIT L. DUGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, PMHNP
Contact information
Practice address
1497 W ELK AVE, SUITE 11, ELIZABETHTON, TN 37643-2895
(423) 542-8929
(423) 542-8621
Mailing address
1497 W ELK AVE, SUITE 11, ELIZABETHTON, TN 37643-2895
(423) 542-8929
(423) 542-8621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024169795
VA
363LF0000X
Family Nurse Practitioner
Primary
APN0000007383
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7383
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043370687
—
VA
05
—
3343836
—
TN
Enumeration date
12/12/2006
Last updated
03/15/2017
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