Provider Demographics
NPI:1477199354
Name:RAGIN, ANDREW CONNOR (DNP, AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:CONNOR
Last Name:RAGIN
Suffix:
Gender:M
Credentials:DNP, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8060 WOLF RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1727
Mailing Address - Country:US
Mailing Address - Phone:901-271-1000
Mailing Address - Fax:901-271-4187
Practice Address - Street 1:6025 WALNUT GROVE RD STE 111
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2102
Practice Address - Country:US
Practice Address - Phone:901-226-2000
Practice Address - Fax:901-226-2010
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN26646363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care