Provider Demographics
NPI:1609530955
Name:BUGGS, CHERI YOVONNE (APRN)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:YOVONNE
Last Name:BUGGS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16530 US HIGHWAY 64
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38068-6185
Mailing Address - Country:US
Mailing Address - Phone:901-813-8138
Mailing Address - Fax:
Practice Address - Street 1:16530 US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38068-6185
Practice Address - Country:US
Practice Address - Phone:901-813-8138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-23
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS905082363LG0600X
TN30658363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology