Nurse Practitioner
Mrs. JACKLYN HAGG AGACNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1861928111 · enumerated 2017-05-05 · record updated 2021-06-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 277381, ATLANTA, GA, 30384-7381 Google Maps Apple Maps OpenStreetMap
- Practice location 3100 CHANNING WAY, IDAHO FALLS, ID, 83404-7533 (208) 529-6111 Fax (208) 529-7021 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Acute Care 363LA2100X · License AP 60730619 WA
- Nurse Practitioner 363L00000X · Primary · License 66593 ID
In this directory
Locations and evidence
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Practice location
IDAHO FALLS, ID, 834047533
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.