Individual
JAMIE LYNNE HAGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8500
Mailing address
3 CARDINAL CT, MONTVALE, NJ 07645-2504
(201) 783-2756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19572500
NJ
363L00000X
Nurse Practitioner
Primary
26NJ14917400
NJ
Other
Enumeration date
08/24/2023
Last updated
09/03/2025
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