Individual
JENNIFER DAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 W CORK ST UNIT 405, WINCHESTER, VA 22601-3876
(540) 313-9200
(540) 686-7287
Mailing address
107 FOXHALL RD, CHARLES TOWN, WV 25414-2502
(304) 707-5152
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
102035
WV
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0020191270
VA
363LF0000X
Family Nurse Practitioner
117157
WV
Other
Enumeration date
02/09/2023
Last updated
04/14/2025
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