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Individual

KIMBERLY JAGST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
1600 W 38TH ST STE 200, AUSTIN, TX 78731-6405
(512) 324-3540
(512) 324-3541
Mailing address
1600 W 38TH ST STE 200, AUSTIN, TX 78731-6405
(512) 324-7000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
830762
TX
363LA2100X
Acute Care Nurse Practitioner
1085924
TX
363LA2200X
Adult Health Nurse Practitioner
LP-0010497
DE
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1085924
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
LP-0010497
TX
363LG0600X
Gerontology Nurse Practitioner
LP-0010497
DE

Other

Enumeration date
12/20/2021
Last updated
06/02/2023
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