Individual
KAYLA BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BISHOP ST, UNION CITY, TN 38261-5403
(731) 885-2410
(731) 884-8692
Mailing address
1229 ETHRIDGE LN, UNION CITY, TN 38261-5822
(731) 446-1270
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27387
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2020
Last updated
03/09/2021
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