Provider Demographics
NPI:1801349626
Name:JARNAGIN, HUGH HAROLD (NP-C)
Entity type:Individual
Prefix:
First Name:HUGH
Middle Name:HAROLD
Last Name:JARNAGIN
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 SUTHERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-2350
Mailing Address - Country:US
Mailing Address - Phone:865-521-6174
Mailing Address - Fax:865-673-6489
Practice Address - Street 1:2200 SUTHERLAND AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2350
Practice Address - Country:US
Practice Address - Phone:865-521-6174
Practice Address - Fax:865-673-6489
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily