Individual provider · Type 1 NPI
Jason Fredrick Wagner, APRN, LMHC, MCAP
Psychiatric/Mental Health Nurse Practitioner · Hollywood, FL
NPI number
1720536691
Active
Practice location
111 W Coral Way
Hollywood, FL 33021-3860
Fax (954) 965-1327
Mailing address
135 Weston Rd # 236
Weston, FL 33326-1111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH8961 (FL) |
| Mental Health Counselor | 101YM0800X | MH8961 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11004343 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
4 other providers at this address
- Cassandra CalcagnoAddiction (Substance Use Disorder) Counselor Hollywood, FL NPI 1861364408
- Kavita Katrina Marajh, PSY.D.Clinical Psychologist Hollywood, FL NPI 1639599913
- Kynan Metoyer, PSY.D.Clinical Neuropsychologist Hollywood, FL NPI 1437408572
- Sara Phuong Thiha Hoang, APRNFamily Nurse Practitioner Hollywood, FL NPI 1710649322
Other psychiatric/mental health nurse practitioner providers in Hollywood
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- Morgan SchneiderPsychiatric/Mental Health Nurse Practitioner Hollywood, FL NPI 1023916095
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- Lisa Margo GuertinPsychiatric/Mental Health Nurse Practitioner Hollywood, FL NPI 1073940631
- Maydibis Blanco AlonsoPsychiatric/Mental Health Nurse Practitioner Hollywood, FL NPI 1083208599
- Svetlana RicherPsychiatric/Mental Health Nurse Practitioner Hollywood, FL NPI 1093684730
About NPI 1720536691
Jason Fredrick Wagner, APRN, LMHC, MCAP's National Provider Identifier is 1720536691, issued on Sep 20, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hollywood, FL. The record was last updated on May 1, 2024.