Provider Demographics
NPI:1285031468
Name:JAGGARD, ALLISON (NP-C)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:JAGGARD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 SPRING GREEN BLVD STE 120-109
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7462
Mailing Address - Country:US
Mailing Address - Phone:346-608-5154
Mailing Address - Fax:
Practice Address - Street 1:1708 SPRING GREEN BLVD STE 120-109
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7462
Practice Address - Country:US
Practice Address - Phone:346-608-5154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0035152363LF0000X
CA95020539363LF0000X
OR202203866363LF0000X
NJ26NJ14840100363LF0000X
WA61268937363LF0000X
CT12663363LF0000X
TXAP126998363LF0000X
AZ282916363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily