Individual
CHRISTY MCCONVILLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
119 N DAISY ST, MORRISTOWN, TN 37814-4703
(423) 839-0820
(423) 717-6368
Mailing address
119 N DAISY ST, MORRISTOWN, TN 37814-4703
(423) 839-0820
(423) 717-6368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-111556
AL
363LF0000X
Family Nurse Practitioner
Primary
14667
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q078136
—
TN
Enumeration date
04/01/2009
Last updated
03/01/2024
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