Wagner, Jessica Noel

Wagner, Jessica Noel is an individual health care provider with primary practice located at 12828 S 3600 W Ste 101 , Riverton UT 84065-6853. 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, Jessica Noel can be contacted via phone (480) 316-2501.

Contact Information

Primary practice address
12828 S 3600 W Ste 101 Riverton UT 84065-6853
Phone: (480) 316-2501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9073204-4405 Utah

Profile Details

NPI number 1174130629
LBN Legal business name Wagner, Jessica Noel
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2020
Last updated Sep 29th, 2020 - about 6 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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