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NPI 1861238180

NPI 1861238180 : MEAGAN ELIZABETH REDMON MSN, FNP-BC : WARTBURG, TN

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General NPI Number Information
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    NPI Number           |    1861238180
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    Entity Type          |    Individual 
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    Provider Name        |    MEAGAN ELIZABETH REDMON MSN, FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/05/2024
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    1825 KNOXVILLE HWY 
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    City                 |    WARTBURG
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    State                |    TN
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    Zip                  |    37887-4120
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    Country              |    US
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    Telephone            |    423-346-3600
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    Fax                  |    833-908-2181
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Provider Business Mailing Address
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    Address Line         |    1275 DICK LONAS RD 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37909-1382
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    Country              |    US
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    Telephone            |    865-584-4747
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    Fax                  |    865-381-1509
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    36457
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    License Number State |    TN
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