Jennifer Shannon Haag, AGPCNP
Jennifer Shannon Haag, AGPCNP is a Nurse Practitioner in Seaside, Oregon. Qualified in 2015, 11 years ago. Practices with Providence Health and Services Oregon, a 102-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Virginia.
- Years since qualifying
- 11
- Licensed in
- OR, VA
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
727 S Wahanna RdSeaside, OR 97138-7735
Phone: (503) 717-7060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 8640 Sudley Rd, Manassas, VA 20110-4420 — (703) 361-7778
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 201707705NP-PP (OR) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 0024172937 (VA) |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 0024172937 (VA) |
Record details
| NPI number | 1285095398 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGPCNP |
| Sole proprietor | No |
| NPI enumerated | March 16, 2016 |
| Last updated in NPPES | January 14, 2021 |
| Certification date | September 29, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Providence Health And Services Oregon — 102 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Seaside
-
Jacquelyn L Welborn, PMHNP
727 S Wahanna Rd, Seaside, OR 97138-7735 · (503) 717-7060