Jade Jaggers in Lanham - Physician Assistant

Jade Jaggers - NPI 1225112089

Jade Jaggers is a Physician Assistant in Lanham, Maryland. Jade Jaggers practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jade Jaggers is 1225112089. The last update date is 2014-09-18.

Jade Jaggers's current location address is 8118 Good Luck Rd, Lanham, Maryland. You can contact this provider via phone number 3105525500. The mailing address for Jade Jaggers is 8118 Good Luck Rd, Lanham, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Jade Jaggers
Address 8118 Good Luck Rd, Lanham, Maryland
Phone Number 3105525500
Fax Number
Sole Proprietor Y
Credentials MPH, PA-C

NPI Number Detail

NPI Number 1225112089
Provider Enumeration Date 2006-10-25
Last Updated Date 2014-09-18

Provider Mailing Address Detail

Address 8118 Good Luck Rd
City Lanham
State Maryland (MD)
Post Code 207063574
Phone Number 3105525500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA030460
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jade Jaggers

What is the unique identifier code issued to Jade Jaggers by the Centers for Medicare & Medicaid Services (CMS)?

The Jade Jaggers has been assigned the NPI (National Provider Identifier) 1225112089. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Jade Jaggers?

The Jade Jaggers is situated at 8118 Good Luck Rd, in the city of Lanham, state of MD, with the zip code 207063574.

What is the Jade Jaggers's specialty and taxonomy code?

The Jade Jaggers's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1225112089 to Jade Jaggers?

The Centers for Medicare & Medicaid Services assigned the 1225112089 to Jade Jaggers on 2006-10-25.

When was the Jade Jaggers's information last updated?

The Jade Jaggers's information was last updated on 2014-09-18.

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