Doctor Name: | MRS. SUE ELLEN HAGER |
NPI Number: | 1447327077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 4704106139 |
Business Practice Address: | 216 Olds St Jonesville, MI - 492501128 |
Business Phone Number: | 5178497100 |
Business Fax Number: | |
Mailing Address: | 2670 W Parnall Rd, JACKSON |
State: | MI |
Postal Code: | 492019036 |
Phone Number: | 5717841575 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704106139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |