Daggett, Jennifer Ann

Daggett, Jennifer Ann is an individual health care provider with primary practice located at 3113 Saemann Ave , Sheboygan WI 53081-1957. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Daggett, Jennifer Ann can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3113 Saemann Ave Sheboygan WI 53081-1957
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15201-33 Wisconsin

Profile Details

NPI number 1801646245
LBN Legal business name Daggett, Jennifer Ann
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2024
Last updated May 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801646245 NPPES
Wisconsin MEDICAID 100274215

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