Individual
MELINDA JAGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 W. LOWELL DR, SAN TAN VALLEY, AZ 85140
(480) 278-5558
Mailing address
1034 W. LOWELL DR, SAN TAN VALLEY, AZ 85140
(480) 278-5558
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
307475
AZ
363LG0600X
Gerontology Nurse Practitioner
307475
AZ
Other
Enumeration date
05/23/2024
Last updated
09/10/2024
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