Individual
JENNIFER MICHELLE DAGENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, RN
Contact information
Practice address
10 3RD AVE NE STE 200, HICKORY, NC 28601-5044
(828) 327-8105
Mailing address
144 SKEETER LN, STATESVILLE, NC 28625-9649
(604) 902-2913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
306833
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
153521
NC
Other
Enumeration date
05/12/2025
Last updated
06/05/2025
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