Provider Demographics
NPI:1962646638
Name:SCROGGINS, CAROL H (FNP)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:H
Last Name:SCROGGINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8066 WALNUT RUN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-8842
Mailing Address - Country:US
Mailing Address - Phone:901-881-2260
Mailing Address - Fax:901-881-0680
Practice Address - Street 1:8066 WALNUT RUN RD STE 100
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-8842
Practice Address - Country:US
Practice Address - Phone:901-881-2260
Practice Address - Fax:901-881-0680
Is Sole Proprietor?:No
Enumeration Date:2009-04-26
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA810407363LF0000X
TN14092363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily