Provider Demographics
NPI:1457045593
Name:JAGER, MORGAN RAE (DNP)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:RAE
Last Name:JAGER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:RAE
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6652 WOODLEA DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-9459
Mailing Address - Country:US
Mailing Address - Phone:269-569-2651
Mailing Address - Fax:
Practice Address - Street 1:601 JOHN ST STE 401
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5341
Practice Address - Country:US
Practice Address - Phone:855-618-2676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704358590363L00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse