Provider Demographics
NPI:1790486397
Name:AGEE, FELICIA ROSE (RN)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:ROSE
Last Name:AGEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 CARMACK AVE
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37030-1140
Mailing Address - Country:US
Mailing Address - Phone:615-281-2705
Mailing Address - Fax:
Practice Address - Street 1:633 CARMACK AVE
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TN
Practice Address - Zip Code:37030-1140
Practice Address - Country:US
Practice Address - Phone:615-281-2705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN248912163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health