MEDICARE: BETH SUE JAEGER FNP

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	25034	SC

General Provider Information

NPI Number	:	1508433608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH SUE JAEGER FNP

Provider Business Mailing Address
First Line	:	381 VAUX HALL AVE
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-6249
Country	:	US
Telephone Number	:	608-556-8030
Fax Number	:

Provider Business Practice Location Address
First Line	:	381 VAUX HALL AVE
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-6249
Country	:	US
Telephone Number	:	608-556-8030
Fax Number	:

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

Provider Enumeration Date	:	06/07/2021
Last Update Date	:	12/01/2025

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