Individual
JENNY ILENE HAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP,FNP
Contact information
Practice address
4201 GARTH RD, EMERGENCY ROOM, BAYTOWN, TX 77521-3167
(281) 420-8888
Mailing address
3043 GESSNER RD, HOUSTON, TX 77080
(713) 202-1544
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
251223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042493904
—
TX
Enumeration date
11/18/2005
Last updated
04/29/2014
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