National Provider Identifier
Seth Christopher Jacob-Wagner, NP
Seth Christopher Jacob-Wagner, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 546-2271.
Source: public NPPES record, last updated January 27, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1003398959
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- September 06, 2018
- Last Updated
- January 27, 2023
Practice Location
- 114 University Ave
- Rochester, NY 14605-2992
Phone: (585) 546-2271
Mailing Address
- 343 Hoyt St Uppr
- Buffalo, NY 14213-1246
Specialties
- Family Nurse Practitioner (363LF0000X)
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Full Record
- NPI
- 1003398959
- Entity Type
- Individual
- Last Name
- Jacob-Wagner
- First Name
- Seth
- Middle Name
- Christopher
- Name Prefix
- Mr.
- Credential
- NP
- Provider Other Last Name
- Wagner
- Provider Other First Name
- Seth
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 343 Hoyt St Uppr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1246
- Mailing Country
- US
- Mailing Phone
- (716) 480-1596
- Practice Street Address
- 114 University Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-2992
- Practice Country
- US
- Practice Phone
- (585) 546-2271
- Enumeration Date
- September 06, 2018
- Last Updated
- January 27, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- January 27, 2023
- Taxonomies
- Family Nurse Practitioner (363LF0000X)