Active NPIIndividual provider

Jennifer M Hagberg, NP-C

Nurse Practitioner in Bridgeport, Connecticut

NPI Number1194236547
Practice location
4200 Main St, Bridgeport, CT 06606-2303
Fax
203-916-5155
Last updated
January 22, 2019

Jennifer M Hagberg is a Nurse Practitioner based in Bridgeport, CT. Jennifer M Hagberg practices in Bridgeport, CT and has the professional credentials of NP-C. The NPI Number for Jennifer M Hagberg is 1194236547 and holds a License No. 7288 (CT). The current practice location address for Jennifer M Hagberg is 4200 Main St, Bridgeport, CT 06606-2303 and can be reached out via phone at 203-916-5151 and via fax at 203-916-5155.

Provider Profile Details

NPI Number
1194236547
Provider Name
Jennifer M Hagberg
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
4200 Main St, Bridgeport, CT 06606-2303
Phone Number
203-916-5151
Fax Number
203-916-5155
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
October 12, 2017
Last Update Date
January 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
4200 Main St
Bridgeport, CT 06606-2303
Zip
06606-2303
Phone Number
203-916-5151
Fax Number
203-916-5155
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
4200 Main St
Bridgeport, CT 06606-2303
City
Bridgeport
State
CT
Zip
06606-2303
Phone Number
203-916-5151
Fax Number
203-916-5155

License Information

License Number (1)
7288
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
7288
License State (2)
CT
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer M Hagberg, NP-C?

The NPI number of Jennifer M Hagberg, NP-C is 1194236547. It was assigned on October 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Jennifer M Hagberg, NP-C?

Jennifer M Hagberg, NP-C is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 7288.

Where does Jennifer M Hagberg, NP-C practice?

The practice location is 4200 Main St, Bridgeport, CT 06606-2303. The office can be reached at 203-916-5151 (phone) or 203-916-5155 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194236547 directly on the NPPES registry website.

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