Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer M Hagberg, NP-C

Individual provider Family Nurse Practitioner · NPI 1194236547

Jennifer M Hagberg, NP-C is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2017, 9 years ago. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

4200 Main St
Bridgeport, CT 06606-2303
Phone: (203) 916-5151
Fax: (203) 916-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7288 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 7288 (CT)

Record details

NPI number1194236547
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESJanuary 22, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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