Provider Demographics
NPI:1134361785
Name:JAGGI, JENNIFER NADINE (MD)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:NADINE
Last Name:JAGGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11505 BURNHAM DRIVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332
Mailing Address - Country:US
Mailing Address - Phone:253-313-5997
Mailing Address - Fax:253-313-5179
Practice Address - Street 1:11505 BURNHAM DRIVE
Practice Address - Street 2:SUITE 302
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332
Practice Address - Country:US
Practice Address - Phone:253-313-5997
Practice Address - Fax:253-313-5179
Is Sole Proprietor?:No
Enumeration Date:2009-03-28
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA61442754207V00000X
MA256082207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology