Individual provider · Type 1 NPI

Jacqueline Joy Gagen, CNM, FNP

Family Nurse Practitioner · Sayre, PA

NPI number 1811964281 Active

Practice location

1 Guthrie Sq
Sayre, PA 18840-1625

Mailing address

11 Alvena Ave, Suite 101, Ob/gyn Assoc. Of Cortland, Md, Pc
Cortland, NY 13045

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X6153461 (NY)
Gynecology Physician 207VG0400X6153461 (NY)
Obstetrics Physician 207VX0000X6153461 (NY)
Obstetrics & Gynecology Nurse Practitioner 363LX0001X360384 (NY)
Advanced Practice Midwife 367A00000XF000501 (NY)
Family Nurse Practitioner Primary 363LF0000X343016 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1811964281

Jacqueline Joy Gagen, CNM, FNP's National Provider Identifier is 1811964281, issued on Mar 3, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sayre, PA. The record was last updated on Mar 16, 2021.