Provider Demographics
NPI:1346863552
Name:JAEGER, DANIELLE SELIG (APRN)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:SELIG
Last Name:JAEGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 FLOWERTREE DR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-3091
Mailing Address - Country:US
Mailing Address - Phone:386-341-7493
Mailing Address - Fax:
Practice Address - Street 1:598 STERTHAUS DRIVE
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174
Practice Address - Country:US
Practice Address - Phone:386-256-2565
Practice Address - Fax:386-256-2567
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006013363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health