Individual provider · Type 1 NPI
Staci Ann Jagoe, ITDS
Specialist · Pensacola, FL
NPI number
1932403409
Active
Practice location
455 Shiloh Dr
Pensacola, FL 32503-7713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1932403409
Staci Ann Jagoe, ITDS's National Provider Identifier is 1932403409, issued on Dec 27, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pensacola, FL. The record was last updated on Dec 27, 2010.