Individual
REGINA FAYE LEGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 LIGHT ST, DYERSBURG, TN 38024-3223
(731) 676-6763
Mailing address
425 LIGHT ST, DYERSBURG, TN 38024-3223
(731) 676-6763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000101443
TN
Other
Enumeration date
09/25/2009
Last updated
01/25/2017
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