Provider Demographics
NPI:1093541336
Name:RAGLAND, NATALIE N (DNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:N
Last Name:RAGLAND
Suffix:
Gender:
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 MANGUM RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-5809
Mailing Address - Country:US
Mailing Address - Phone:901-233-9376
Mailing Address - Fax:
Practice Address - Street 1:6373 N QUAIL HOLLOW RD STE 101
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1405
Practice Address - Country:US
Practice Address - Phone:901-871-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000158862363LP0808X
TN37330363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health