Individual provider · Type 1 NPI

Amy Jeannette Waggoner, FNP

Family Nurse Practitioner · Woonsocket, RI

NPI number 1194794271 Active

Practice location

1 Cvs Dr, Mail Code 3005
Woonsocket, RI 02895-6146

Mailing address

7206 Eganhill Dr
Austin, TX 78745-5114

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X617781 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1194794271

Amy Jeannette Waggoner, FNP's National Provider Identifier is 1194794271, issued on Mar 14, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woonsocket, RI. The record was last updated on Mar 20, 2017.