Individual provider · Type 1 NPI

Jane Wagema-Johnson, GNP

Gerontology Nurse Practitioner · Beverly, MA

NPI number 1316206352 Active

Practice location

100 Cummings Ctr, Suite 222C
Beverly, MA 01915-6115

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X242191 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1316206352

Jane Wagema-Johnson, GNP's National Provider Identifier is 1316206352, issued on May 11, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Beverly, MA. The record was last updated on May 11, 2012.