Individual provider · Type 1 NPI

Mollie Wagner

Registered Nurse · Jefferson, LA

NPI number 1174470405 Active

Practice location

1514 Jefferson Hwy
Jefferson, LA 70121-2451

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X887322 (MS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174470405

Mollie Wagner's National Provider Identifier is 1174470405, issued on Mar 16, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Jefferson, LA. The record was last updated on Mar 16, 2026.