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Search › Idaho › 363L00000X

Jacklyn Hagg, AGACNP

NPI 1861928111 · on the registry since 2017

Practice

Address
3100 Channing Way
Idaho Falls, ID 83404
Phone
(208) 529-6111
Fax
(208) 529-7021
Organisation at this address
Kenneth E Krell Md Pa
Ihc Health Services Inc
Neonatal Associates, Pllc
Intermountain Anesthesia, Pa
Eastern Idaho Intensivist Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
206

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LA2100X
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho