Individual provider · Type 1 NPI

Kristina Bagley

Nurse Practitioner · Johnson City, TN

NPI number 1720527674 Active

Practice location

101 Medtech Parkway, Suite 200
Johnson City, TN 37604-4007

Fax (423) 232-6125

Mailing address

2340 Knob Creek Rd, Ste 720
Johnson City, TN 37604-2977

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X22192 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720527674

Kristina Bagley's National Provider Identifier is 1720527674, issued on Feb 13, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Johnson City, TN. The record was last updated on Nov 2, 2021.