Provider Demographics
NPI:1205837648
Name:JAGOE, JENNIFER MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARY
Last Name:JAGOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:19785 CRYSTAL ROCK DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-4700
Mailing Address - Country:US
Mailing Address - Phone:301-528-8444
Mailing Address - Fax:301-540-3260
Practice Address - Street 1:19785 CRYSTAL ROCK DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-4700
Practice Address - Country:US
Practice Address - Phone:301-528-8444
Practice Address - Fax:301-540-3260
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD75231207V00000X
MDD0075231207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology