KELLY WIGGINS FNP-BC NPI 1225578305

NPI Information

NPI: 1225578305
Provider Name: KELLY WIGGINS, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1137 S DUPREE AVE STE 400
BROWNSVILLE, TN
ZIP 38012
Phone: (731) 779-0902
Get Directions

Kelly Wiggins, FNP-BC is a family nurse practitioner in Brownsville, TN. Kelly Wiggins, FNP-BC NPI is 1225578305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1137 S DUPREE AVE STE 400
BROWNSVILLE, TN
ZIP 38012-255
Phone: (731) 779-0902

The NPI 1225578305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2017 and was last updated on 4/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		182981	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	35582	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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