National Provider Identifier
Jenny T. Bagen, NP
Jenny T. Bagen, NP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Tonawanda, NY and a listed phone number of (716) 432-2892.
Profile Overview
- NPI
- 1184647505
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- July 26, 2006
- Last Updated
- February 03, 2019
Practice Location
- 1405 Sheridan Dr
- Tonawanda, NY 14217-1248
Phone: (716) 432-2892
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1184647505
- Entity Type
- Individual
- Last Name
- Bagen
- First Name
- Jenny
- Middle Name
- T.
- Name Prefix
- MS.
- Credential
- NP
- Mailing Street Address
- 1405 Sheridan Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1248
- Mailing Country
- US
- Mailing Phone
- (716) 432-2892
- Mailing Fax
- (716) 389-4155
- Practice Street Address
- 1405 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14217-1248
- Practice Country
- US
- Practice Phone
- (716) 432-2892
- Practice Fax
- (716) 389-4155
- Enumeration Date
- July 26, 2006
- Last Updated
- February 03, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Other Identifiers
- 02792363 (NY)