Individual provider · Type 1 NPI

Jennifer Shannon Haag, AGPCNP

Gerontology Nurse Practitioner · Seaside, OR

NPI number 1285095398 Active

Practice location

727 S Wahanna Rd
Seaside, OR 97138-7735

Mailing address

PO Box 3397
Portland, OR 97208-3397

Other practice locations

  • 8640 Sudley Rd, Suite 303, Manassas, VA 20110-4420 · (703) 361-7778

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0024172937 (VA)
Adult Health Nurse Practitioner 363LA2200X0024172937 (VA)
Gerontology Nurse Practitioner Primary 363LG0600X201707705NP-PP (OR)

Gerontology Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1285095398

Jennifer Shannon Haag, AGPCNP's National Provider Identifier is 1285095398, issued on Mar 16, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Seaside, OR. The record was last updated on Jan 14, 2021.