Individual provider · Type 1 NPI

Jacquelin K. Waggoner, DNP

Neonatal Nurse Practitioner · Indianapolis, IN

NPI number 1255159935 Active

Practice location

705 Riley Hospital Dr
Indianapolis, IN 46202-5109

Call (317) 274-4779 Map

Fax (317) 948-9806

Mailing address

PO Box 778912
Chicago, IL 60677-8912

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000X28230172A (IN)
Neonatal Nurse Practitioner Primary 363LN0000X71015787A (IN)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1255159935

Jacquelin K. Waggoner, DNP's National Provider Identifier is 1255159935, issued on Oct 1, 2024. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 4, 2024.