Hagg, Jacklyn

Hagg, Jacklyn is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hagg, Jacklyn can be contacted via phone (208) 529-6111.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-7533
Phone: (208) 529-6111
Fax: (208) 529-7021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP 60730619 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 66593 Idaho

Profile Details

NPI number 1861928111
LBN Legal business name Hagg, Jacklyn
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2017
Last updated Jun 17th, 2021 - about 5 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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