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Mrs. Jacklyn Hagg, AGACNP
Nurse Practitioner in Idaho Falls, Idaho
NPI 1861928111

Jacklyn Hagg is a Nurse Practitioner based in Atlanta, ID. Jacklyn Hagg practices in Idaho Falls, ID and has the professional credentials of AGACNP. The NPI Number for Jacklyn Hagg is 1861928111 and holds a License No. AP 60730619 (Idaho).

The current practice location address for Jacklyn Hagg is 3100 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-529-6111 and via fax at 208-529-7021.

Location: 3100 Channing Way, Idaho Falls, ID, 30384-7381
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861928111
Provider Name
Jacklyn Hagg
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
3100 Channing Way, Idaho Falls, ID, 30384-7381
Phone Number
208-529-6111
Fax Number
208-529-7021
Provider Enumeration Date
05/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3100 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7533
Phone Number
208-529-6111
Fax Number
208-529-7021
person
Provider Business Mailing Address Details
Address
3100 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7533
Phone Number
208-529-6111
Fax Number
208-529-7021
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
66593 (Idaho)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
AP 60730619 (Washington)
Definition
Definition to come...
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