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Jessica Noel Wagner, FNP-C
Family Nurse Practitioner in Riverton, Utah
NPI 1174130629

Jessica Noel Wagner is a Family Nurse Practitioner based in Herriman, UT and is specialized in Family. Jessica Noel Wagner practices in Riverton, UT and has the professional credentials of FNP-C. The NPI Number for Jessica Noel Wagner is 1174130629 and holds a License No. 9073204-4405 (Utah).

The current practice location address for Jessica Noel Wagner is 12828 S 3600 W Ste 101, Riverton, UT and can be reached out via phone at 480-316-2501.

Location: 12828 S 3600 W Ste 101, Riverton, UT, 84096-5404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174130629
Provider Name
Jessica Noel Wagner
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
12828 S 3600 W Ste 101, Riverton, UT, 84096-5404
Phone Number
480-316-2501
Fax Number
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12828 S 3600 W Ste 101
City
Riverton
State
Utah
Zip
84065-6853
Phone Number
480-316-2501
Fax Number
person
Provider Business Mailing Address Details
Address
12828 S 3600 W Ste 101
City
Riverton
State
Utah
Zip
84065-6853
Phone Number
480-316-2501
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9073204-4405 (Utah)
Definition
Definition to come...
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