Haggard, Jenny Ilene

Haggard, Jenny Ilene is an individual health care provider with primary practice located at 4201 Garth Rd Emergency Room, Baytown TX 77521-3167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Haggard, Jenny Ilene can be contacted via phone (281) 420-8888.

Contact Information

Primary practice address
4201 Garth Rd Emergency Room Baytown TX 77521-3167
Phone: (281) 420-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 251223 Texas

Profile Details

NPI number 1285616664
LBN Legal business name Haggard, Jenny Ilene
Credentials ACNP,FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 29th, 2014 - about 12 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 1285616664 NPPES
Texas MEDICAID 042493904

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