Individual
THOMAS CHRISTIAN AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-9320
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-9320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
38255
TN
Other
Enumeration date
12/16/2018
Last updated
10/27/2025
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