Individual
MS. ELAINE JAGGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1461 SHADY LANE RD, COLUMBUS, OH 43227-2111
(614) 578-9513
(614) 626-2214
Mailing address
1461 SHADY LANE RD, COLUMBUS, OH 43227-2111
(614) 578-9513
(614) 626-2214
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
258655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2900703
—
OH
Enumeration date
06/27/2014
Last updated
06/27/2014
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