Individual provider · Type 1 NPI
Kristina L. Waggoner, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Rusk, TX
NPI number
1770823759
Active
Practice location
805 North Dickinson Drive
Rusk, TX 75785
Fax (903) 683-7199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 763777 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1770823759
Kristina L. Waggoner, PMHNP-BC's National Provider Identifier is 1770823759, issued on Feb 27, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rusk, TX. The record was last updated on May 19, 2014.