Individual provider · Type 1 NPI

Jacqueline Lee Wagner, ARNP

Family Medicine Physician · Coeur D Alene, ID

NPI number 1447598362 Active

About NPI 1447598362

Jacqueline Lee Wagner, ARNP's National Provider Identifier is 1447598362, issued on Jan 28, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 17, 2016.