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Jennifer A Jaggers, PA

Physician Assistant in Indianapolis, IN. Individual provider (NPI-1).

NPI number1649428186
StatusActive
Last updated in NPPESJun 23, 2021

Details

NPI
1649428186
Entity type
Individual (NPI-1)
Name
Jennifer A Jaggers
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 8, 2008
Certification date
Jun 23, 2021
Last updated
Jun 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant99033056INYes

Other names

  • Jennifer A Peck (Former Name)

Practice location

1500 N Ritter Ave
Indianapolis, IN 46219-3027

Phone 317-802-3143 · Fax 317-870-0499

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

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