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Ms. Cherrie Lashae Wagnon, CRNP
Family Nurse Practitioner in Jasper, Alabama
NPI 1588613616

Cherrie Lashae Wagnon is a Family Nurse Practitioner based in Jasper, AL and is specialized in Family. Cherrie Lashae Wagnon practices in Jasper, AL and has the professional credentials of CRNP. The NPI Number for Cherrie Lashae Wagnon is 1588613616 and holds a License No. 1-080080 (Alabama).

The current practice location address for Cherrie Lashae Wagnon is 801 20Th Ave E, Jasper, AL and can be reached out via phone at 205-384-0311.

Location: 801 20Th Ave E, Jasper, AL, 35501-4070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588613616
Provider Name
Cherrie Lashae Wagnon
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
801 20Th Ave E, Jasper, AL, 35501-4070
Phone Number
205-384-0311
Fax Number
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
891004650 05 AL
institution
Provider Business Practice Location Address Details
Address
801 20Th Ave E
City
Jasper
State
Alabama
Zip
35501-4070
Phone Number
205-384-0311
Fax Number
person
Provider Business Mailing Address Details
Address
801 20Th Ave E
City
Jasper
State
Alabama
Zip
35501-4070
Phone Number
205-384-0311
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-080080 (Alabama)
Definition
Definition to come...
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