Individual
JENNIFER HOPE BAGGENSTOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2780 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4104
(256) 533-4626
(256) 533-4710
Mailing address
2780 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4104
(256) 533-4626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 606
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 606
PA LICENSE
AL
Enumeration date
07/11/2006
Last updated
06/22/2023
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