Individual
JESSICA HAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
227 ST. PAUL PLACE, WEINBERG BLDG., 4THFLOOR, BALTIMORE, MD 21202-2102
(410) 332-9294
Mailing address
301 ST. PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202-2102
(410) 659-2802
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
07/12/2017
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