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NPI Code Detail

MEDICARE: CARRIE JUGAN

MEDICARE: CARRIE JUGAN
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
1224Z00000XOccupational Therapy Assistant2647TN

General Provider Information

NPI Number : 1891148771
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE JUGAN
Provider Business Mailing Address
First Line : 5000 TOLL HOUSE CIR APT 5220
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-4412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8353 HIGHWAY 100
Second Line :
City : NASHVILLE
State : TN
Zip : 37221-4009
Country : US
Telephone Number : 629-888-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2016
Last Update Date : 07/15/2016

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Directions to “ CARRIE JUGAN ” Practice Location

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