Individual provider · Type 1 NPI

Miles Wagner, AGACNP-BC

Acute Care Nurse Practitioner · Meridian, MS

NPI number 1356056873 Active

Practice location

2124 14th St
Meridian, MS 39301-4040

Call (601) 553-6000 Map

Mailing address

340 Longwood Dr
Meridian, MS 39305-8231

Other practice locations

  • 1102 Constitution Ave, Meridian, MS 39301-4001 · (601) 553-6000

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X906964 (MS)
Acute Care Nurse Practitioner Primary 363LA2100X906964 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1356056873

Miles Wagner, AGACNP-BC's National Provider Identifier is 1356056873, issued on Jan 19, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Meridian, MS. The record was last updated on May 6, 2025.