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NPI Code Detail

MEDICARE: ANDREW CONNOR RAGIN DNP, AGACNP-BC

MEDICARE: ANDREW CONNOR RAGIN DNP, AGACNP-BC
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
1363LA2100XAcute Care Nurse Practitioner903829MS
2363LA2100XAcute Care Nurse Practitioner26646TN

General Provider Information

NPI Number : 1477199354
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW CONNOR RAGIN DNP, AGACNP-BC
Provider Business Mailing Address
First Line : 350 N HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2177
Country : US
Telephone Number : 901-226-4003
Fax Number : 901-227-8591
Provider Business Practice Location Address
First Line : 6019 WALNUT GROVE RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2113
Country : US
Telephone Number : 901-226-2800
Fax Number : 901-226-2802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2019
Last Update Date : 01/06/2026

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