Individual provider · Type 1 NPI

Madison Moore Wagner, FNP-C

Family Nurse Practitioner · Longview, TX

NPI number 1538848296 Active

Practice location

1107 E Marshall Ave
Longview, TX 75601-5602

Call (903) 758-2610 Map

Fax (903) 758-7081

Other practice locations

  • 1761 W Loop 281, Longview, TX 75604-2734 · (903) 758-2610
  • 2131 S Mobberly Ave, Longview, TX 75602-3563 · (903) 758-2610

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X1128039 (TX)
Family Nurse Practitioner Primary 363LF0000X1128039 (TX)

Family Nurse Practitioner: Definition to come...

36 other providers at this address

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About NPI 1538848296

Madison Moore Wagner, FNP-C's National Provider Identifier is 1538848296, issued on Jul 11, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Longview, TX. The record was last updated on Aug 26, 2025.