Individual provider · Type 1 NPI

Jennifer Wagner, NP

Nurse Practitioner · Waverly, NY

NPI number 1508296773 Active

Practice location

37 N Chemung St
Waverly, NY 14892-1211

Mailing address

1 Guthrie Sq
Sayre, PA 18840-1625

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF340629 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508296773

Jennifer Wagner, NP's National Provider Identifier is 1508296773, issued on Nov 25, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waverly, NY. The record was last updated on Apr 5, 2021.