Connie Louise Jaeger, RN, WHCNP
Nurse Practitioner, Women's Health in Dallas, OR. Individual provider (NPI-1).
NPI number1487876561
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1487876561
- Entity type
- Individual (NPI-1)
- Name
- Connie Louise Jaeger
- Credential
- RN, WHCNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 2, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 000031638N7 | OR | Yes |
Practice location
182 Sw Academy StSte 302
Dallas, OR 97338-1922
Phone 503-623-8175 · Fax 503-831-3499
Mailing address
2101 Perrydale RdDallas, OR 97338-9359
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