Individual
DR. JACQUELINE ANNA BANGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5630 NOLENSVILLE PIKE, NASHVILLE, TN 37211-6422
(615) 396-8997
(615) 809-2062
Mailing address
6688 NOLENSVILLE RD STE 108-41, BRENTWOOD, TN 37027-8833
(615) 396-8997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN16231
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01694655
AMERIGROUP
—
01
—
1438566
CIGNA
—
05
—
1528608
—
TN
01
—
4339887
BLUE CROSS BLUE SHIELD
—
01
—
9926916
AETNA
—
Enumeration date
11/30/2011
Last updated
02/14/2020
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