Individual
COLLIN BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
102 WESSINGTON PL, HENDERSONVILLE, TN 37075-3085
(615) 822-2214
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
29774
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29774
TN APRN LICENSE
TN
Enumeration date
07/25/2021
Last updated
02/09/2023
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