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Individual

BRANDON JAGGI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
913 CENTER ST STE 1, EVANSTON, WY 82930-3400
(307) 300-5885
Mailing address
913 CENTER ST STE 1, EVANSTON, WY 82930-3400
(307) 300-5885

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
115908
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
52431
WY

Other

Enumeration date
04/22/2024
Last updated
12/18/2025
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