Individual
STEPHANIE A JAGODZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3430 SECOR RD STE 425, TOLEDO, OH 43606-1547
(567) 585-0225
(419) 214-3564
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(567) 585-0225
(419) 214-3564
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA 16018-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113079
—
OH
01
—
H406060
MEDICARE PIN
OH
01
—
H406062
MEDICARE PIN-CENTRAL
OH
Enumeration date
08/11/2014
Last updated
11/03/2023
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