Individual
KRISTINA BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MEDTECH PARKWAY, SUITE 200, JOHNSON CITY, TN 37604-4007
(423) 232-6120
(423) 232-6125
Mailing address
2340 KNOB CREEK RD, STE 720, JOHNSON CITY, TN 37604-2977
(423) 232-6120
(423) 232-6125
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22192
TN
Other
Enumeration date
02/13/2017
Last updated
11/02/2021
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