MEDICARE: MRS. ALLISON JAGGARD NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0035152	OH
2	363LF0000X	Family Nurse Practitioner	95020539	CA
3	363LF0000X	Family Nurse Practitioner	202203866	OR
4	363LF0000X	Family Nurse Practitioner	26NJ14840100	NJ
5	363LF0000X	Family Nurse Practitioner	61268937	WA
6	363LF0000X	Family Nurse Practitioner	12663	CT
7	363LF0000X	Family Nurse Practitioner	AP126998	TX
8	363LF0000X	Family Nurse Practitioner	282916	AZ

General Provider Information

NPI Number	:	1285031468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON JAGGARD NP-C

Provider Business Mailing Address
First Line	:	1708 SPRING GREEN BLVD STE 120-109
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7462
Country	:	US
Telephone Number	:	346-608-5154
Fax Number	:

Provider Business Practice Location Address
First Line	:	1708 SPRING GREEN BLVD STE 120-109
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7462
Country	:	US
Telephone Number	:	346-608-5154
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2014
Last Update Date	:	01/16/2025

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