Individual provider · Type 1 NPI
Jake Wagner
Student in an Organized Health Care Education/Training Program · Lebanon, IN
NPI number
1114667334
Active
Practice location
1310 S Lebanon St
Lebanon, IN 46052-2792
Fax (765) 485-8959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7 other providers at this address
- American Health Network of Indiana, LLCDurable Medical Equipment & Medical Supplies Lebanon, IN NPI 1588759435
- Amanda Michelle Christmas, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Lebanon, IN NPI 1235804261
- Arthur Flores, MDFamily Medicine Physician Lebanon, IN NPI 1346262771
- Ben H. Park, MDFamily Medicine Physician Lebanon, IN NPI 1841377702
- Jennie Maguire, NPAdult Health Nurse Practitioner Lebanon, IN NPI 1215306444
- Lindsay Marie Diemer, DOChild & Adolescent Psychiatry Physician Lebanon, IN NPI 1023457124
- Lynn L. Strueh, NPNurse Practitioner Lebanon, IN NPI 1609953561
Other student in an organized health care education/training program providers in Lebanon
- Emma Ruth HuseStudent in an Organized Health Care Education/Training Program Lebanon, IN NPI 1073411302
- Kayla HastonStudent in an Organized Health Care Education/Training Program Lebanon, IN NPI 1124490461
- Kenzlie Ann WesterfieldStudent in an Organized Health Care Education/Training Program Lebanon, IN NPI 1710401492
About NPI 1114667334
Jake Wagner's National Provider Identifier is 1114667334, issued on Mar 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, IN. The record was last updated on Nov 2, 2026.