Stagner, Jeanne Gail
Stagner, Jeanne Gail is an sole proprietor health care provider with primary practice located at 3225 Dyer St , Las Cruces NM 88011-4803. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Stagner, Jeanne Gail can be contacted via phone (575) 888-4067.Contact Information
Primary practice address
3225 Dyer St
Las Cruces NM 88011-4803
Phone: (575) 888-4067
Fax: (575) 888-4067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 59814 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 725 | New Mexico |
Profile Details
| NPI number | 1679540942 |
|---|---|
| LBN Legal business name | Stagner, Jeanne Gail |
| Credentials | CNM, FNP-C, MSN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2006 |
| Last updated | Mar 25th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679540942 | NPPES |
| Oregon | Other | R176941 | MEDICARE PTAN |
| Oregon | MEDICAID | 085311 | MEDICARE PTAN |
| Oregon | MEDICAID | 89076044 | MEDICARE PTAN |
| Oregon | Other | Z157796 | MEDICARE PTAN |
| Oregon | Other | 567052YRND | MEDICARE PTAN |
| Oregon | MEDICAID | 9625898 | MEDICARE PTAN |
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