Angela Fagan is a Jackson, Mississippi based nurse practitioner with 12 years of experience in Acute Care. She completed her graduation in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Angela Fagan is R858439 for Acute Care in Mississippi. Her current practice location is 2500 N State St, Jackson. Patients can reach her at 601-984-6426 or can fax her at 601-984-5503 with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1073944971. Angela Fagan is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Angela Fagan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163655903
Enrollment ID:
I20140502000228
NPI Number:
1073944971
NPI Enumeration Date:
03 Dec, 2013
NPI Last Update On:
07 Nov, 2014
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angela Fagan are as mentioned below.
License Number
Specialization
State
Status
R858439
Acute Care
Mississippi
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(250001)
Jackson, MS
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Angela Fagan is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
State Of Mississippi-university Of Mississippi Medical Center (1850293036)
820
Other Medical Identifiers:
Other legacy medical identifiers associated with Angela Fagan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
04888572
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Angela Fagan 2500 N State St, Jackson, Mississippi
Zip:
39216-4500
Phone Number:
601-984-5500
Fax Number:
601-984-5503
Patients can reach Angela Fagan at 2500 N State St, Jackson, Mississippi or can call to book an appointment on 601-984-6426.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.