Individual
CASEY CHRISTINA REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 S MAIN ST, CROSSVILLE, TN 38555-5967
(931) 484-6196
Mailing address
1503 S MAIN ST, CROSSVILLE, TN 38555-5967
(931) 484-6196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000217916
TN
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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