Individual
JENNIFER M HAGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4200 MAIN ST, BRIDGEPORT, CT 06606-2303
(203) 916-5151
(203) 916-5155
Mailing address
4200 MAIN ST, BRIDGEPORT, CT 06606-2303
(203) 916-5151
(203) 916-5155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7288
CT
363LF0000X
Family Nurse Practitioner
7288
CT
Other
Enumeration date
10/12/2017
Last updated
01/22/2019
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