Hagerman, Jessica Dawn
Hagerman, Jessica Dawn is an sole proprietor health care provider with primary practice located at 2222 Colonial Rd , Fort Pierce FL 34950-5309. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Hagerman, Jessica Dawn can be contacted via phone (772) 559-4433.Contact Information
Primary practice address
2222 Colonial Rd
Fort Pierce FL 34950-5309
Phone: (772) 559-4433
Fax: (772) 299-3757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1407351125 |
|---|---|
| LBN Legal business name | Hagerman, Jessica Dawn |
| Credentials | B.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2018 |
| Last updated | Nov 23rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407351125 | NPPES |
| Florida | MEDICAID | 1047351125 |
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