Individual
JENNIFER RAE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
138 DUBLIN SQUARE RD STE B, ASHEBORO, NC 27203-8601
(336) 610-1300
(336) 419-0509
Mailing address
138 DUBLIN SQUARE RD STE B, ASHEBORO, NC 27203-8601
(336) 610-1300
(336) 419-0509
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5011104
NC
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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