Individual
MRS. BEVERLY G. JAGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101
(270) 783-3319
(270) 780-0473
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 393-4861
(270) 780-0473
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3012276
KY
363LA2100X
Acute Care Nurse Practitioner
31825
TN
363LG0600X
Gerontology Nurse Practitioner
3012276
KY
363LG0600X
Gerontology Nurse Practitioner
31825
TN
Other
Enumeration date
04/20/2018
Last updated
10/16/2025
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