Individual provider · Type 1 NPI

Jennifer Kay Wagstaff

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1992949044 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-5222 Map

Mailing address

4150 Dudleys Grant Dr Apt F
Winterville, NC 28590-8344

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992949044

Jennifer Kay Wagstaff's National Provider Identifier is 1992949044, issued on Apr 20, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 20, 2009.