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Abigail Hagan Southall, NURSEPRACTITIONER
Family Nurse Practitioner in Lebanon, Kentucky
NPI 1861006066

Abigail Hagan Southall is a Family Nurse Practitioner based in Lebanon, KY and is specialized in Family. Abigail Hagan Southall practices in Lebanon, KY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Abigail Hagan Southall is 1861006066 and holds a License No. 3015055 (Kentucky).

The current practice location address for Abigail Hagan Southall is 312 W High St, Lebanon, KY and can be reached out via phone at 270-692-9559 and via fax at 270-692-9236.

Location: 312 W High St, Lebanon, KY, 40033-1428
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Provider Profile Details
NPI Number
1861006066
Provider Name
Abigail Hagan Southall
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
312 W High St, Lebanon, KY, 40033-1428
Phone Number
270-692-9559
Fax Number
270-692-9236
Provider Enumeration Date
09/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3015055 01 KY NURSE PRACTITIONER LICENSE
institution
Provider Business Practice Location Address Details
Address
312 W High St
City
State
Zip
40033-1428
Phone Number
270-692-9559
Fax Number
270-692-9236
person
Provider Business Mailing Address Details
Address
312 W High St
City
State
Zip
40033-1428
Phone Number
270-692-9559
Fax Number
270-692-9236
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3015055 (Kentucky)
Definition
Definition to come...
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