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Individual

JULIA A DAGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 551-1795
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61578
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
12074
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3622164
TN
Enumeration date
05/03/2006
Last updated
02/19/2020
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