Individual provider · Type 1 NPI

Jessica Leigh Wagner, APRN

Family Nurse Practitioner · Danville, IL

NPI number 1730837634 Active

Practice location

3545 N Vermilion St
Danville, IL 61832-1100

Mailing address

101 W University Ave
Champaign, IL 61820-3981

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209024574 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1730837634

Jessica Leigh Wagner, APRN's National Provider Identifier is 1730837634, issued on Mar 10, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Danville, IL. The record was last updated on May 3, 2022.