Individual
MRS. JENNIFER LOU STAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP ARNP RN MS
Contact information
Practice address
1630 WOODS CT, HOOD RIVER, OR 97031
(541) 387-6449
Mailing address
4640 FRAZIER DR, HOOD RIVER, OR 97031
(541) 386-3414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP30003678
WA
363LF0000X
Family Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9615519
—
WA
01
—
9620ST
REGENCE
WA
01
—
9624ST
REGENCE
WA
Enumeration date
03/20/2007
Last updated
07/08/2007
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