National Provider Identifier

Jennifer Susan Wagner, R.N.

Jennifer Susan Wagner, R.N. is listed in the NPPES registry with a primary specialty of School Registered Nurse in Rochester, NY and a listed phone number of (585) 249-5700.

NPI 1174909329Rochester, NYSchool Registered Nurse

Profile Overview

NPI
1174909329
Provider Type
Individual
Primary Specialty
School Registered Nurse
Enumeration Date
August 10, 2015
Last Updated
August 10, 2015

Practice Location

  • 2590 Atlantic Ave
  • Box 900
  • Rochester, NY 14625-1543

Phone: (585) 249-5700

Mailing Address

  • PO Box 900
  • Penfield, NY 14526-0900

Specialties

  • School Registered Nurse (163WS0200X)
Full Record
NPI
1174909329
Entity Type
Individual
Last Name
Wagner
First Name
Jennifer
Middle Name
Susan
Name Prefix
MS.
Credential
R.N.
Mailing Street Address
PO Box 900
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-0900
Mailing Country
US
Practice Street Address
2590 Atlantic Ave
Practice Address Line 2
Box 900
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-1543
Practice Country
US
Practice Phone
(585) 249-5700
Enumeration Date
August 10, 2015
Last Updated
August 10, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Registered Nurse (163WS0200X)