MRS. JACKLYN HAGG (NPI# 1861928111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861928111 |
| Entity Type | Individual |
| Full Name | MRS. JACKLYN HAGG |
| Credential | AGACNP |
| Practice Address |
3261 Nw Mount Vintage Way Suite 221 Silverdale WA 98383-6039 |
| Practice Telephone | 3604791952 |
| Mailing Telephone | 3604791952 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP 60730619 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3261 NW MOUNT VINTAGE WAY SUITE 221 |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-6039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619273240 | Pakc Dsl Inc Ps | Pathology | 3261 Nw Mount Vintage Way, Suite 301, Silverdale, WA 98383-6039 | 2011-01-29 |
| 1689004202 | Laboratory Corporation of America | Clinical Medical Laboratory | 3261 Nw Mount Vintage Way, Suite 301, Silverdale, WA 98383-6039 | 2013-11-18 |
| 1558615591 | Paige Jacqueline Fernandez | Massage Therapist | 3261 Nw Mount Vintage Way, Silverdale, WA 98383-6039 | 2012-10-30 |
| 1679871917 | Pacific Pathology Partners, Pllc | Clinical Medical Laboratory | 3261 Nw Mount Vintage Way, Suite 301, Silverdale, WA 98383-6039 | 2011-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875752 | Vincent Gutierrez | Nurse Practitioner | 4120 N 19th St, Tacoma, WA 98406-4718 | 2020-06-11 |
| 1003463951 | Corene Kimberly Irvin | Nurse Practitioner | 15508 80th Avenue Ct E, Puyallup, WA 98375-8489 | 2019-08-23 |
| 1427527233 | Nikki Lillian Nino | Nurse Practitioner | 9819 Harborview Pl, Gig Harbor, WA 98332-1018 | 2018-11-21 |
| 1386134203 | Heather J Mckinney | Nurse Practitioner | 6420 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409-6722 | 2018-05-16 |
| 1427551159 | Amanda Catherine Maclurg | Nurse Practitioner | 1802 S Yakima Ave Ste 302, Tacoma, WA 98405 | 2018-03-08 |
| 1568850154 | Cara Cook | Nurse Practitioner | 1504 Nw 57th St, Seattle, WA 98107-3017 | 2015-01-05 |
| 1770913022 | Amanda Ray | Nurse Practitioner | 118 Nw 188th St, Shoreline, WA 98177-3033 | 2013-11-24 |
| 1487999140 | Jessica Morgan White | Nurse Practitioner | 2607 Bridgeport Way W Ste 2e, University Place, WA 98466-4725 | 2012-12-06 |
| 1851625701 | Cathy Phan | Nurse Practitioner | 4029 Northwest Ave Ste 301a, Bellingham, WA 98226-9077 | 2009-09-24 |
| 1902054687 | Lk Healthcare Systems, L.L.C. | Nurse Practitioner | 12611 W Sunset Hwy, Suite B, Airway Heights, WA 99001-9427 | 2008-09-05 |
| Find all providers with the same taxonomy | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
Please comment or provide details below to improve the information on MRS. JACKLYN HAGG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.