Individual
JACQUELINE DEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
580 LINCOLN PARK BOULEVARD, SUITE 320, KETTERING, OH 45429-3493
(937) 299-6980
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023831
OH
Other
Enumeration date
09/16/2019
Last updated
03/20/2026
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