Individual provider · Type 1 NPI
Jamie Lynne Hagemann
Nurse Practitioner · Ridgewood, NJ
Practice location
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Mailing address
3 Cardinal Ct
Montvale, NJ 07645-2504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 26NJ14917400 (NJ) |
| Registered Nurse | 163W00000X | 26NR19572500 (NJ) |
Nurse Practitioner: (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 wit…
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About NPI 1104600683
Jamie Lynne Hagemann's National Provider Identifier is 1104600683, issued on Aug 24, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ridgewood, NJ. The record was last updated on Sep 3, 2025.