Individual provider · Type 1 NPI
Jamie Wagner, NP-C
Family Nurse Practitioner · Allentown, PA
NPI number
1396325619
Active
Practice location
1243 S Cedar Crest Blvd
Allentown, PA 18103-6268
Mailing address
2100 Mack Blvd Fl 4
Allentown, PA 18103-5622
Other practice locations
- 701 W Oak St, Frackville, PA 17931-1672 · (570) 874-4100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | SP023496 (PA) |
| Family Nurse Practitioner | 363LF0000X | F01211375 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP023496 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396325619
Jamie Wagner, NP-C's National Provider Identifier is 1396325619, issued on Apr 11, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Allentown, PA. The record was last updated on Nov 5, 2024.