Individual
MS. BILLY JEAN REAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
311 23RD AVE N, NASHVILLE, TN 37203-1503
(615) 340-5650
Mailing address
2958 HILLHURST DR, NASHVILLE, TN 37207-2961
(615) 262-5081
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
129498
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129498
REGISTERED NURSE
TN
Enumeration date
06/27/2007
Last updated
07/08/2007
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