MEDICARE: MEAGAN DOGGETT APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4042105	KY

General Provider Information

NPI Number	:	1447148457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN DOGGETT APRN

Provider Business Mailing Address
First Line	:	125 SHALA MAR RUE
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-9748
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2909 RICHMOND RD STE 40
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1715
Country	:	US
Telephone Number	:	859-880-4199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	06/26/2025

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Directions to “ MEAGAN DOGGETT APRN” Practice Location

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