HomeNPI Verification

NPI Verification

National Provider Identifier: 1407636582

5jaghealth, PLLC

Organization

Primary Specialty

Nurse Practitioner, Family

Code: 363LF0000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Nurse Practitioner, Family

Code: 363LF0000X

Primary

Practice Address

8405 127TH DR

LIVE OAK, FL 320608835

Phone: 386-647-6144

NPI Enumeration Date

October 4, 2023

NPI Number

1407636582

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry