Individual
MS. JAMIE M BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
405 STEAM PLANT RD STE 200, GALLATIN, TN 37066-3375
(615) 941-8501
(615) 941-8102
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2661
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6029602
BCBS OF TN
TN
05
—
Q011192
—
TN
Enumeration date
01/06/2015
Last updated
03/27/2024
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