Individual
DANIELLE A JAGELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 UTAH ST STE 200, HIAWATHA, KS 66434-2314
(785) 742-2161
Mailing address
300 UTAH ST, HIAWATHA, KS 66434-2326
(785) 742-2131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76218
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10030259300
—
NE
01
—
110034005
PTAN
KS
05
—
30004521280001
—
KS
05
—
420016287
—
MO
Enumeration date
01/06/2014
Last updated
02/16/2026
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