person
Angela Fagan
Acute Care Nurse Practitioner in Jackson, Mississippi
NPI 1073944971

Angela Fagan is an Acute Care Nurse Practitioner based in Jackson, MS and is specialized in Acute Care. Angela Fagan practices in Jackson, MS. The NPI Number for Angela Fagan is 1073944971 and holds a License No. R858439 (Mississippi).

The current practice location address for Angela Fagan is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-6426 and via fax at 601-984-5503.

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1073944971
Provider Name
Angela Fagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-6426
Fax Number
601-984-5503
Provider Enumeration Date
12/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04888572 05 MS
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-6426
Fax Number
601-984-5503
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-6426
Fax Number
601-984-5503
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
R858439 (Mississippi)
Definition
Definition to come...
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