Individual
BILLIE JO DAGENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
640 SUMMIT CROSSING PL, SUITE 200, GASTONIA, NC 28054-2138
(704) 671-5400
(704) 671-5420
Mailing address
640 SUMMIT CROSSING PL, SUITE 200, GASTONIA, NC 28054-2138
(704) 671-5400
(704) 671-5420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
179261
NC
363LF0000X
Family Nurse Practitioner
Primary
179261
NC
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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