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NPI Code Detail

MEDICARE: JOSHUA DRAGAN FNP-C

MEDICARE: JOSHUA DRAGAN FNP-C
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
1363LF0000XFamily Nurse Practitioner23816TN

General Provider Information

NPI Number : 1760983324
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA DRAGAN FNP-C
Provider Business Mailing Address
First Line : 562 W MAIN ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-5382
Country : US
Telephone Number : 931-854-9601
Fax Number :
Provider Business Practice Location Address
First Line : 562 W MAIN ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-5382
Country : US
Telephone Number : 931-854-9601
Fax Number : 931-854-9605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2018
Last Update Date : 08/14/2019

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Directions to “ JOSHUA DRAGAN FNP-C” Practice Location

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