Jennifer Maria Muggridge, APRN
Individual provider Active NPI Family Nurse Practitioner · Jacksboro, TN
NPI 1750922902 · NPPES record last updated Sep 30, 2019
Key facts
- NPI
- 1750922902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 25916 (TN)
- Practice address
- 2702 Jacksboro Pike
Jacksboro, TN 37757-4850 - Phone
- (423) 658-1406
- Fax
- (865) 281-1625
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velocity Medical LLC | Past |
Accepting new patients | |
| Neighborhood Medical LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25916 | TN | Yes |
Addresses
Primary practice location
2702 Jacksboro Pike
Jacksboro, TN 37757-4850
Mailing address
PO Box 787
Jacksboro, TN 37757-0787
Phone (423) 658-1406
Other practice location 1
120 Tanner Pl
Clinton, TN 37716-6684
Phone (423) 658-1406
Other providers in Jacksboro, TN
- Frank Townsend Metelka
- Lori M Middleton
- Barbara Milton
- Alissa Dower Miracle
- Mary Kate Moore
- Laura Kaleigh Mundy
- Myeyedr Optometry of Tennessee, LLC
- Kevin A Mysliwiec
- Sandy L Mysliwiec
- Gurpreet K Narula
All providers in Jacksboro, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.