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Mrs. Jeannene Rochelle Wagner, CNP
Family Nurse Practitioner in Hobbs, New Mexico
NPI 1730635566

Jeannene Rochelle Wagner is a Family Nurse Practitioner based in Lubbock, NM and is specialized in Family. Jeannene Rochelle Wagner practices in Hobbs, NM and has the professional credentials of CNP. The NPI Number for Jeannene Rochelle Wagner is 1730635566 and holds a License No. R26431 (New Mexico).

The current practice location address for Jeannene Rochelle Wagner is 5320 N Lovington Hwy, Hobbs, NM and can be reached out via phone at 575-392-1973 and via fax at 575-392-2030. You can also correspond with Jeannene Rochelle Wagner through the mailing address at 2215 NASHVILLE AVE, LUBBOCK, TX - 79410-1105 (mailing address contact number: 806-725-5844).

Location: 5320 N Lovington Hwy, Hobbs, NM, 79410-1105
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Provider Profile Details
NPI Number
1730635566
Provider Name
Jeannene Rochelle Wagner
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
5320 N Lovington Hwy, Hobbs, NM, 79410-1105
Phone Number
575-392-1973
Fax Number
575-392-2030
Provider Enumeration Date
08/31/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1K3729 01 NM MEDICARE
1730635566 01 NM BCBS
institution
Provider Business Practice Location Address Details
Address
5320 N Lovington Hwy
City
State
Zip
88240-9139
Phone Number
575-392-1973
Fax Number
575-392-2030
person
Provider Business Mailing Address Details
Address
5320 N Lovington Hwy
City
State
Zip
88240-9139
Phone Number
575-392-1973
Fax Number
575-392-2030
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
License No.
03552 (New Mexico)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R26431 (New Mexico)
Definition
Definition to come...
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