Individual provider · Type 1 NPI

Jessica Hagner, PA-C

Medical Physician Assistant · Baltimore, MD

NPI number 1093090417 Active

Practice location

227 St. Paul Place, Weinberg Bldg., 4THFLOOR
Baltimore, MD 21202-2102

Mailing address

301 St. Paul Place, Medical Staff Office
Baltimore, MD 21202-2102

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1093090417

Jessica Hagner, PA-C's National Provider Identifier is 1093090417, issued on Oct 17, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Jul 12, 2017.