Individual provider · Type 1 NPI

Lacie Gail Gudger, NP-C

Family Nurse Practitioner · Englewood, TN

NPI number 1114405354 Active

Practice location

3360 Highway 411 N
Englewood, TN 37329-5276

Fax (423) 887-5917

Mailing address

6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN181114 (TN)
Family Nurse Practitioner Primary 363LF0000XAPN24561 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1114405354

Lacie Gail Gudger, NP-C's National Provider Identifier is 1114405354, issued on Jul 31, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Englewood, TN. The record was last updated on Sep 29, 2020.