Individual
MR. JAMES R BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
105486
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
052938
TN
367500000X
Certified Registered Nurse Anesthetist
10616
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009973630
—
AL
05
—
3629781
—
TN
01
—
4022325
BCBS NUMBER
TN
05
—
74004094
—
KY
Enumeration date
07/18/2005
Last updated
03/22/2022
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