Jaggers, Joan M

Jaggers, Joan M is an sole proprietor health care provider with primary practice located at 10 E Lovers Ln , Fayetteville AR 72701-2831. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Jaggers, Joan M can be contacted via phone (479) 414-3219.

Contact Information

Primary practice address
10 E Lovers Ln Fayetteville AR 72701-2831
Phone: (479) 414-3219
Fax: (479) 301-2488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C00569 Arkansas

Profile Details

NPI number 1730285081
LBN Legal business name Jaggers, Joan M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Sep 26th, 2012 - about 13 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 1730285081 NPPES
Arkansas MEDICAID 120778701
Arkansas MEDICAID 100781500A

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