person
Ms. Jenny T. Bagen, NP
Psychiatric/Mental Health Nurse Practitioner in Tonawanda, New York
NPI 1184647505

Jenny T. Bagen is a Psychiatric/Mental Health Nurse Practitioner based in Tonawanda, NY and is specialized in Psychiatric/Mental Health. Jenny T. Bagen practices in Tonawanda, NY and has the professional credentials of NP. The NPI Number for Jenny T. Bagen is 1184647505 and holds a License No. F400997 (New York).

The current practice location address for Jenny T. Bagen is 1405 Sheridan Dr, Tonawanda, NY and can be reached out via phone at 716-432-2892 and via fax at 716-389-4155. You can also correspond with Jenny T. Bagen through the mailing address at 1405 SHERIDAN DR, TONAWANDA, NY - 14217-1248 (mailing address contact number: 716-432-2892).

Location: 1405 Sheridan Dr, Tonawanda, NY, 14217-1248
person
Provider Profile Details
NPI Number
1184647505
Provider Name
Jenny T. Bagen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1405 Sheridan Dr, Tonawanda, NY, 14217-1248
Phone Number
716-432-2892
Fax Number
716-389-4155
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02792363 05 NY
institution
Provider Business Practice Location Address Details
Address
1405 Sheridan Dr
City
State
Zip
14217-1248
Phone Number
716-432-2892
Fax Number
716-389-4155
person
Provider Business Mailing Address Details
Address
1405 Sheridan Dr
City
State
Zip
14217-1248
Phone Number
716-432-2892
Fax Number
716-389-4155
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F400997 (New York)
Definition
Definition to come...
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