Individual provider · Type 1 NPI

James Lucas Wagoner, MSN, APRN, FNP-C

Family Nurse Practitioner · Nacogdoches, TX

NPI number 1104470988 Active

About NPI 1104470988

James Lucas Wagoner, MSN, APRN, FNP-C's National Provider Identifier is 1104470988, issued on Jul 30, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Nacogdoches, TX. The record was last updated on Jan 19, 2023.