Individual
DR. JENNIFER HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MBA, CRNA
Contact information
Practice address
10315 DAWSONS CREEK BLVD STE AB, FORT WAYNE, IN 46825
(260) 436-7875
(260) 432-9812
Mailing address
PO BOX 843603, DALLAS, TX 75284-3603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28179714A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093320038
—
IN
Enumeration date
09/15/2020
Last updated
06/24/2024
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