Individual provider · Type 1 NPI

Jacob Bradley Wagner, DNAP

Critical Care Medicine Registered Nurse · Madison, TN

NPI number 1376251009 Active

Practice location

315 Hospital Dr
Madison, TN 37115-5030

Call (615) 732-7662 Map

Other practice locations

  • 250 Park St, Bowling Green, KY 42101-1795 · (270) 745-1000

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X267408 (TN)
Certified Registered Nurse Anesthetist 367500000X4051451 (KY)

Critical Care Medicine Registered Nurse: Definition to come...

350 other providers at this address

Other critical care medicine registered nurse providers in Madison

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About NPI 1376251009

Jacob Bradley Wagner, DNAP's National Provider Identifier is 1376251009, issued on Nov 11, 2022. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Madison, TN. The record was last updated on Jan 7, 2026.