Individual provider · Type 1 NPI

Jennifer M. Wagner

Acute Care Nurse Practitioner · Centerville, OH

NPI number 1003736984 Active

Practice location

2400 Miami Valley Dr
Centerville, OH 45459-4774

Fax (937) 641-2780

Mailing address

3170 Kettering Blvd Bldg B2ND
Moraine, OH 45439-1924

Other practice locations

  • 9000 N Main St, Englewood, OH 45415-1180 · (937) 208-8394
  • 1 Medical Center Dr, Middletown, OH 45005-2584 · (513) 974-2111
  • 3130 N County Road 25A, Troy, OH 45373-1337 · (937) 440-4466
  • 1 Wyoming St Ste SE3100B, Dayton, OH 45409-2722 · (937) 208-8394

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPRN.CNP.0042761 (OH)

Acute Care Nurse Practitioner: Definition to come...

42 other providers at this address

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About NPI 1003736984

Jennifer M. Wagner's National Provider Identifier is 1003736984, issued on Jul 20, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Centerville, OH. The record was last updated on Aug 11, 2026.