National Provider Identifier
Jennifer Wagner, NP
Jennifer Wagner, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Waverly, NY and a listed phone number of (607) 565-2861.
Profile Overview
- NPI
- 1508296773
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- November 25, 2013
- Last Updated
- April 05, 2021
Practice Location
- 37 N Chemung St
- Waverly, NY 14892-1211
Phone: (607) 565-2861
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Nurse Practitioner (363L00000X)
Endpoints
- jwagner50358@direct-guthrie.org
Direct Messaging Address | Direct | Waverly, NY 14892
Full Record
- NPI
- 1508296773
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Jennifer
- Credential
- NP
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 37 N Chemung St
- Practice City
- Waverly
- Practice State
- NY
- Practice ZIP Code
- 14892-1211
- Practice Country
- US
- Practice Phone
- (607) 565-2861
- Enumeration Date
- November 25, 2013
- Last Updated
- April 05, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- 02693896 (NY)