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Madison Moore Wagner, FNP-C
Nurse Practitioner in Longview, Texas
NPI 1538848296

Madison Moore Wagner is a Nurse Practitioner based in Longview, TX. Madison Moore Wagner practices in Longview, TX and has the professional credentials of FNP-C. The NPI Number for Madison Moore Wagner is 1538848296 and holds a License No. 1128039 (Texas).

The current practice location address for Madison Moore Wagner is 1107 E Marshall Ave, Longview, TX and can be reached out via phone at 903-758-2610 and via fax at 903-758-7081.

Location: 1107 E Marshall Ave, Longview, TX, 75601-5602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538848296
Provider Name
Madison Moore Wagner
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1107 E Marshall Ave, Longview, TX, 75601-5602
Phone Number
903-758-2610
Fax Number
903-758-7081
Provider Enumeration Date
07/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1107 E Marshall Ave
City
Longview
State
Texas
Zip
75601-5602
Phone Number
903-758-2610
Fax Number
903-758-7081
person
Provider Business Mailing Address Details
Address
1107 E Marshall Ave
City
Longview
State
Texas
Zip
75601-5602
Phone Number
903-758-2610
Fax Number
903-758-7081
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1128039 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1128039 (Texas)
Definition
Definition to come...
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