Individual
CORY LYNN LEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2205 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2904
(423) 352-6500
Mailing address
2205 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2904
(423) 352-6500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36702
TN
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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