Individual
GABRIELLE LOPEZ JAGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
17025 GREEN CREST LN, LOUISVILLE, KY 40245-3215
(502) 468-7488
Mailing address
17025 GREEN CREST LN, LOUISVILLE, KY 40245-3215
(502) 468-7488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4002188
KY
363L00000X
Nurse Practitioner
71014679A
IN
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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