Individual
JENNIFER ANN DAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
W2850 STATE ROAD 28, SHEBOYGAN FALLS, WI 53085-2702
(920) 467-1800
(920) 467-1900
Mailing address
W2850 STATE ROAD 28, SHEBOYGAN FALLS, WI 53085-2702
(920) 467-1800
(920) 467-1900
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
15201-33
WI
363LF0000X
Family Nurse Practitioner
15201-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100274215
—
WI
Enumeration date
03/26/2024
Last updated
01/03/2025
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