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Mr. James Lucas Wagoner, MSN,APRN,FNP-C
Family Nurse Practitioner in Nacogdoches, Texas
NPI 1104470988

James Lucas Wagoner is a Family Nurse Practitioner based in Nacogdoches, TX and is specialized in Family. James Lucas Wagoner practices in Nacogdoches, TX and has the professional credentials of MSN,APRN,FNP-C. The NPI Number for James Lucas Wagoner is 1104470988 and holds a License No. AP142434 (Texas).

The current practice location address for James Lucas Wagoner is 1023 N Mound St Ste E, Nacogdoches, TX and can be reached out via phone at 936-305-4130 and via fax at 936-305-4127.

Location: 1023 N Mound St Ste E, Nacogdoches, TX, 75961-4453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104470988
Provider Name
James Lucas Wagoner
Credential
MSN,APRN,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1023 N Mound St Ste E, Nacogdoches, TX, 75961-4453
Phone Number
936-305-4130
Fax Number
936-305-4127
Provider Enumeration Date
07/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1023 N Mound St Ste E
City
Nacogdoches
State
Texas
Zip
75961-4453
Phone Number
936-305-4130
Fax Number
936-305-4127
person
Provider Business Mailing Address Details
Address
1023 N Mound St Ste E
City
Nacogdoches
State
Texas
Zip
75961-4453
Phone Number
936-305-4130
Fax Number
936-305-4127
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP142434 (Texas)
Definition
Definition to come...
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