MR. Jason Curtis Fagan
NPI #1730377219 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1730377219
- Entity Type
- Individual
- Name
- MR. Jason Curtis Fagan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 405 ORCHARD RD
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-4022
- Phone
- (423) 342-6177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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