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NPI Code Detail

MEDICARE: JESSICA LAMONT BLAGYS DNP

MEDICARE: JESSICA LAMONT BLAGYS DNP
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 PractitionerAPN0000023279TN

General Provider Information

NPI Number : 1780190975
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LAMONT BLAGYS DNP
Provider Business Mailing Address
First Line : 333 COMMERCE ST STE 700
Second Line :
City : NASHVILLE
State : TN
Zip : 37201-1835
Country : US
Telephone Number : 615-346-8468
Fax Number : 855-737-5542
Provider Business Practice Location Address
First Line : 333 COMMERCE ST STE 700
Second Line :
City : NASHVILLE
State : TN
Zip : 37201-1835
Country : US
Telephone Number : 615-346-8468
Fax Number : 855-737-5542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2017
Last Update Date : 04/17/2018

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Directions to “ JESSICA LAMONT BLAGYS DNP” Practice Location

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