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Individual

BETHANY ANN JAGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
30381 CHIEFTAIN DR, LOGAN, OH 43138-9092
(740) 385-2555
(740) 380-3730
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 775-7855

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 05307
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2196501
OH
Enumeration date
08/11/2005
Last updated
11/05/2019
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