Individual
HEATHER JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
161 E MAIN ST STE 300, PORT JERVIS, NY 12771-2113
(845) 856-3284
(845) 856-3306
Mailing address
161 E MAIN ST STE 300, PORT JERVIS, NY 12771-2113
(845) 856-3284
(845) 856-3306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LP-0010583
DE
363L00000X
Nurse Practitioner
Primary
SP018850
PA
Other
Enumeration date
05/09/2018
Last updated
11/14/2022
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