Provider Demographics
NPI:1639670250
Name:LEDGER, MAEGAN JO (FNP-C)
Entity Type:Individual
Prefix:
First Name:MAEGAN
Middle Name:JO
Last Name:LEDGER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MAEGAN
Other - Middle Name:JO
Other - Last Name:SVATEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:15214 CARTAGENA CT
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6914
Mailing Address - Country:US
Mailing Address - Phone:832-704-5735
Mailing Address - Fax:
Practice Address - Street 1:6646 S STAPLES ST STE 122
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-5426
Practice Address - Country:US
Practice Address - Phone:361-933-5188
Practice Address - Fax:718-640-2713
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136481363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner