Individual provider · Type 1 NPI
Jeannene Donna Wagner, LPN
Licensed Practical Nurse · Scottsville, NY
NPI number
1003377516
Active
Practice location
9 Rochester St
Scottsville, NY 14546-1331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 324664 (NY) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1003377516
Jeannene Donna Wagner, LPN's National Provider Identifier is 1003377516, issued on Mar 27, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Scottsville, NY. The record was last updated on Mar 27, 2019.