person
Justin Edward Wagnon, NP-C
Gerontology Nurse Practitioner in Cordele, Georgia
NPI 1295112183

Justin Edward Wagnon is a Gerontology Nurse Practitioner based in Cordele, GA and is specialized in Gerontology. Justin Edward Wagnon practices in Cordele, GA and has the professional credentials of NP-C. The NPI Number for Justin Edward Wagnon is 1295112183 and holds a License No. RN217684 (Georgia).

The current practice location address for Justin Edward Wagnon is 105 E 4Th Ave, Cordele, GA and can be reached out via phone at 229-273-9320.

Location: 105 E 4Th Ave, Cordele, GA, 31015-3262
person
Provider Profile Details
NPI Number
1295112183
Provider Name
Justin Edward Wagnon
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
105 E 4Th Ave, Cordele, GA, 31015-3262
Phone Number
229-273-9320
Fax Number
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 E 4Th Ave
City
State
Zip
31015-3262
Phone Number
229-273-9320
Fax Number
person
Provider Business Mailing Address Details
Address
105 E 4Th Ave
City
State
Zip
31015-3262
Phone Number
229-273-9320
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
RN217684 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN217684 (Georgia)
Definition
Definition to come...
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