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Individual
KIMBERLY JAGST
Active
Individual
KIMBERLY JAGST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
830762
TX
363LA2100X
Acute Care Nurse Practitioner
1085924
TX
363LA2200X
Adult Health Nurse Practitioner
LP-0010497
DE
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1085924
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
LP-0010497
TX
363LG0600X
Gerontology Nurse Practitioner
LP-0010497
DE
Other
Enumeration date
12/20/2021
Last updated
06/02/2023
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