Individual
DR. JENNICA ALYSE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, NNP-BC
Contact information
Practice address
4301 X ST, SACRAMENTO, CA 95817-2214
(916) 734-2011
Mailing address
3175 DATA DR APT 1428, RANCHO CORDOVA, CA 95670-6449
(636) 352-8117
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
95023812
CA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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