Individual
JENNIFER LEIGH BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 ALFRED THUN RD, CLARKSVILLE, TN 37040-5339
(931) 221-0479
Mailing address
2004 HAYES ST STE 800, NASHVILLE, TN 37203-2659
(615) 329-0570
(615) 329-0579
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
31956
TN
363LP2300X
Primary Care Nurse Practitioner
31956
TN
Other
Enumeration date
07/11/2022
Last updated
10/31/2025
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