IndividualActive
Jason Fagan
NPI 1730377219 · Licensed Practical Nurse · Elizabethton, TN
Jason Fagan is a Licensed Practical Nurse provider in Elizabethton, TN (NPI 1730377219).
Provider details
- NPI number
- 1730377219
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 71626 (TN)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 Orchard Rd
Elizabethton, TN 37643-4022
Phone: (423) 342-6177
Street-level locationGet directions
Mailing address
405 Orchard Rd
Elizabethton, TN 37643-4022
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2007-10-09
Frequently asked questions
- What is Jason Fagan's NPI number?
- Jason Fagan's National Provider Identifier (NPI) is 1730377219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Fagan's specialty?
- Jason Fagan is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Jason Fagan located?
- Jason Fagan's practice location on file with NPPES is 405 Orchard Rd, Elizabethton, TN 37643-4022.
- What is Jason Fagan's phone number?
- The practice phone number listed in the NPPES registry for Jason Fagan is (423) 342-6177.
- Is Jason Fagan's NPI active?
- Yes — Jason Fagan's NPI (1730377219) is active in the NPPES registry as of the last update on 2007-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.