Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles W Bagley, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1992714588

Charles W Bagley, PNP is a Pediatric Nurse Practitioner in Collierville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

120 Crescent Dr
Collierville, TN 38017
Phone: (901) 757-3560
Fax: (901) 757-3563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 121342 (TN)

Record details

NPI number1992714588
Entity typeIndividual (Type 1)
GenderMale
Credentials PNP
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2007

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