Individual provider · Type 1 NPI

Nathan Andrew Wagner Sr., NP

Family Nurse Practitioner · Jackson, MS

NPI number 1649000183 Active

Practice location

1325 E Fortification St
Jackson, MS 39202-2442

Fax (601) 351-5980

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X906801 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1649000183

Nathan Andrew Wagner Sr., NP's National Provider Identifier is 1649000183, issued on Aug 7, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Aug 7, 2024.