National Provider Identifier
Rachael Sara Jagger
Rachael Sara Jagger is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 377-6590.
Profile Overview
- NPI
- 1548524556
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 25, 2012
- Last Updated
- June 25, 2012
Practice Location
- 6 N Main St
- Suite 110
- Fairport, NY 14450-1524
Phone: (585) 377-6590
Mailing Address
- 28 Haywards Heath
- West Henrietta, NY 14586-9494
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1548524556
- Entity Type
- Individual
- Last Name
- Jagger
- First Name
- Rachael
- Middle Name
- Sara
- Name Prefix
- Mrs.
- Provider Other Last Name
- Ames
- Provider Other First Name
- Rachael
- Provider Other Middle Name
- Sara
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 28 Haywards Heath
- Mailing City
- West Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14586-9494
- Mailing Country
- US
- Mailing Phone
- (585) 217-1175
- Practice Street Address
- 6 N Main St
- Practice Address Line 2
- Suite 110
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1524
- Practice Country
- US
- Practice Phone
- (585) 377-6590
- Enumeration Date
- June 25, 2012
- Last Updated
- June 25, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)