Mager, Jacqueline Ann

Mager, Jacqueline Ann is an individual health care provider with primary practice located at 635 East Baseline Road , Phoenix AZ 85042-6551. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mager, Jacqueline Ann can be contacted via phone (602) 243-7277.

Contact Information

Primary practice address
635 East Baseline Road Phoenix AZ 85042-6551
Phone: (602) 243-7277
Fax: (602) 243-1235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN106639 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1314 Arizona

Profile Details

NPI number 1487615803
LBN Legal business name Mager, Jacqueline Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Dec 21st, 2011 - about 14 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 1487615803 NPPES
Arizona MEDICAID 744690
Arizona Other P82389

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