Individual
MRS. JESSICA CAITLIN GAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
455 W 4TH ST STE 100, FOSTORIA, OH 44830-1864
(419) 436-6680
Mailing address
1441 SAND RIDGE RD, BOWLING GREEN, OH 43402-4493
(419) 806-7812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0028343
OH
Other
Enumeration date
03/02/2021
Last updated
05/13/2024
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