Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LEIGH BAGNELL I
Active Sole ProprietorJENNIFER LEIGH BAGNELL I is a Physician Assistant healthcare provider located in RUMSON, New Jersey. NPI 1235898008 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RUMSON, NJ
Registration Details
- NPI Number
- 1235898008
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2021 (4.7155034096637 yrs)
- Last Updated
- Dec 9, 2021
- Licenses
-
1650442 (NY)25MP00666400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
51 WARDELL AVERUMSON, NJ, 077601036Browse NJ providers · Browse ZIP 07760
- Phone
- 7328656117
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.