Provider Demographics
NPI:1528387107
Name:JAGGERS, SHERYL BRIGGS WILSON (MSN-NPC)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:BRIGGS WILSON
Last Name:JAGGERS
Suffix:
Gender:F
Credentials:MSN-NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 DUNHILL PL NW STE B
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-3870
Mailing Address - Country:US
Mailing Address - Phone:423-790-7792
Mailing Address - Fax:423-790-5455
Practice Address - Street 1:110 DUNHILL PL NW STE B
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3870
Practice Address - Country:US
Practice Address - Phone:423-790-7792
Practice Address - Fax:423-790-5455
Is Sole Proprietor?:No
Enumeration Date:2010-05-22
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN14713363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner