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Jennifer Haag, AGPCNP — NPI 1285095398, Seaside, OR | NPI Central

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NPI 1285095398

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Jennifer Haag, AGPCNP

NPI 1285095398 · Gerontology Nurse Practitioner · Seaside, OR

Provider details

NPI number: 1285095398
Entity type: Individual
Primary specialty: Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: AGPCNP
Sex: Female
Sole proprietor: No
License: 0024172937 (VA)

Specialties & taxonomies

Gerontology Nurse PractitionerPrimary363LG0600XLicense 201707705NP-PP (OR)
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner363L00000XLicense 0024172937 (VA)
Physician Assistants & Advanced Practice Nursing Providers
Adult Health Nurse Practitioner363LA2200XLicense 0024172937 (VA)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

727 S Wahanna Rd

Seaside, OR 97138-7735

Phone: (503) 717-7060

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 3397

Portland, OR 97208-3397

Additional practice locations (1)

8640 Sudley Rd
Suite 303
Manassas, VA 20110-4420
Phone: (703) 361-7778
Fax: (703) 392-6231

Registry dates

Enumerated: 2016-03-16
Last updated: 2021-01-14
Certified: 2020-09-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.