MRS. JESSICA DAWN HAGEN (NPI# 1194956417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194956417 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA DAWN HAGEN |
| Other Name | MS. JESSICA DAWN WATKINS |
| Credential | PA-C |
| Practice Address |
5330 W. Villard Avenue Milwaukee WI 53218 |
| Practice Telephone | 4144639159 |
| Practice Fax Number | 4148310422 |
| Mailing Telephone | 4144639159 |
| Mailing Fax Number | 4148310422 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2012-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2478-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588291975 | Jessica Hagen | Counselor | 762 Transfer Rd, Saint Paul, MN 55114-4506 | 2020-03-25 |
| 1891236386 | Jessica Hagen | Developmental Therapist | 6 Southside Rd, Danvers, MA 01923-1409 | 2017-03-16 |
| 1649646662 | Jessica Hagen | Counselor | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2015-08-13 |
| Street Address |
5330 W. VILLARD AVENUE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1245335868 | Mary Laan | Physician Assistant | 8901 N. 76th Street, Milwaukee, WI 53223 | 2006-09-14 |
| 1326081316 | Therese Ann Johnson | Physician Assistant | 3267 S 16th Street, Ems Office, Milwaukee, WI 53215 | 2006-06-14 |
| 1386686905 | Irum Ziauddin | Physician Assistant | 3201 S 16th St Ste 2015, Milwaukee, WI 53215-4532 | 2006-06-11 |
| 1528054897 | Nicole Meyer Papermaster | Physician Assistant | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2005-09-22 |
| 1285232793 | Trina Kessel | Physician Assistant | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-16 |
| 1124641113 | Emily Rose Johnson | Physician Assistant | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-05-25 |
| 1487273561 | Savannah Mathe | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-09 |
| 1396374245 | Kristin Zutavern | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-03 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.