National Provider Identifier
Jeannene Donna Wagner, LPN
Jeannene Donna Wagner, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Scottsville, NY and a listed phone number of (585) 315-8198.
Profile Overview
- NPI
- 1003377516
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 27, 2019
- Last Updated
- March 27, 2019
Practice Location
- 9 Rochester St
- Scottsville, NY 14546-1331
Phone: (585) 315-8198
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1003377516
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Jeannene
- Middle Name
- Donna
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 9 Rochester St
- Mailing City
- Scottsville
- Mailing State
- NY
- Mailing ZIP Code
- 14546-1331
- Mailing Country
- US
- Mailing Phone
- (585) 315-8198
- Practice Street Address
- 9 Rochester St
- Practice City
- Scottsville
- Practice State
- NY
- Practice ZIP Code
- 14546-1331
- Practice Country
- US
- Practice Phone
- (585) 315-8198
- Enumeration Date
- March 27, 2019
- Last Updated
- March 27, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)