Doctor Name: | MAGGIE G. BILLINGS |
NPI Number: | 1104192053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP, BC |
License Number: | APN11296 |
Business Practice Address: | 11100 Highway 64 Bolivar, TN - 380081554 |
Business Phone Number: | 7315188480 |
Business Fax Number: | 7316584216 |
Mailing Address: | 11100 Old Hwy 64 West, BOLIVAR |
State: | TN |
Postal Code: | 38008 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/26/2012 |
NPI Last Update Date: | 03/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN11296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |