Individual
JASON L HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN APRN AGACNP-BC
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(407) 303-7283
(407) 303-0473
Mailing address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(407) 303-7283
(407) 303-0473
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11011862
FL
363LA2200X
Adult Health Nurse Practitioner
APRN1101862
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN1101862
FL
Other
Enumeration date
02/26/2021
Last updated
03/14/2025
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