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NPI Code Detail

MEDICARE: SAVANNAH LEIGH DAGGETT FNP

MEDICARE: SAVANNAH LEIGH DAGGETT FNP
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
1363L00000XNurse PractitionerAP140615TX

General Provider Information

NPI Number : 1891349544
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH LEIGH DAGGETT FNP
Provider Business Mailing Address
First Line : 4316 JAMES CASEY ST STE C
Second Line :
City : AUSTIN
State : TX
Zip : 78745-1157
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4316 JAMES CASEY ST STE C
Second Line :
City : AUSTIN
State : TX
Zip : 78745-1157
Country : US
Telephone Number : 956-457-1595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2019
Last Update Date : 03/02/2026

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Directions to “ SAVANNAH LEIGH DAGGETT FNP” Practice Location

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