Provider Demographics
NPI:1790036143
Name:JAGGERS, CAREN LOUISE (DNP, MSN, APRN, FNPC)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:LOUISE
Last Name:JAGGERS
Suffix:
Gender:F
Credentials:DNP, MSN, APRN, FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 TALKING SPARROW DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89441-5893
Mailing Address - Country:US
Mailing Address - Phone:775-303-6500
Mailing Address - Fax:
Practice Address - Street 1:1001 PYRAMID WAY STE 206
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4470
Practice Address - Country:US
Practice Address - Phone:775-303-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN001419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty