Wagner, Jennifer Ann

Wagner, Jennifer Ann is an individual health care provider with primary practice located at 255 Fifth Avenue , Nyack NY 10960-1824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wagner, Jennifer Ann can be contacted via phone (845) 362-1750.

Contact Information

Primary practice address
255 Fifth Avenue Nyack NY 10960-1824
Phone: (845) 362-1750
Fax: (845) 362-1577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 334755 New York

Profile Details

NPI number 1346459591
LBN Legal business name Wagner, Jennifer Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jun 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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