Individual provider · Type 1 NPI

Jamie Lee Wagner, APNP

Nurse Practitioner · Prairie Du Sac, WI

NPI number 1902511090 Active

Practice location

250 26th St Ste 120
Prairie Du Sac, WI 53578-2205

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X15465 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1902511090

Jamie Lee Wagner, APNP's National Provider Identifier is 1902511090, issued on Jan 23, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Prairie Du Sac, WI. The record was last updated on Dec 18, 2024.