Organization · Type 2 NPI
5jaghealth, PLLC
Family Nurse Practitioner · Live Oak, FL
NPI number
1407636582
Active
Practice location
112 Irvin Ave SW
Live Oak, FL 32064-2214
Mailing address
8405 127th Dr
Live Oak, FL 32060-8835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1407636582
5jaghealth, PLLC's National Provider Identifier is 1407636582, issued on Oct 4, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Live Oak, FL. The record was last updated on Feb 8, 2024.