Daggett, Julia A

Daggett, Julia A is an individual health care provider with primary practice located at 651 Dunlop Ln , Clarksville TN 37040-5015. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Daggett, Julia A can be contacted via phone (931) 551-1795.

Contact Information

Primary practice address
651 Dunlop Ln Clarksville TN 37040-5015
Phone: (931) 551-1795
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 61578 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 12074 Tennessee

Profile Details

NPI number 1255399788
LBN Legal business name Daggett, Julia A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255399788 NPPES
Tennessee MEDICAID 3622164

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