Provider Demographics
NPI:1285031468
Name:JAGGARD, ALLISON (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:JAGGARD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5656 KELLEY ST STE 3OS62008
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77026-1967
Mailing Address - Country:US
Mailing Address - Phone:713-566-5098
Mailing Address - Fax:713-566-4583
Practice Address - Street 1:5385 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5402
Practice Address - Country:US
Practice Address - Phone:832-571-2300
Practice Address - Fax:832-571-2301
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ282916363LF0000X
TXAP126998363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily