person
Kristina L Waggoner, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Rusk, Texas
NPI 1770823759

Kristina L Waggoner is a Psychiatric/Mental Health Nurse Practitioner based in Rusk, TX and is specialized in Psychiatric/Mental Health. Kristina L Waggoner practices in Rusk, TX and has the professional credentials of PMHNP-BC. The NPI Number for Kristina L Waggoner is 1770823759 and holds a License No. 763777 (Texas).

The current practice location address for Kristina L Waggoner is 805 North Dickinson Drive, Rusk, TX and can be reached out via phone at 903-683-7201 and via fax at 903-683-7199.

Location: 805 North Dickinson Drive, Rusk, TX, 75785
person
Provider Profile Details
NPI Number
1770823759
Provider Name
Kristina L Waggoner
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
805 North Dickinson Drive, Rusk, TX, 75785
Phone Number
903-683-7201
Fax Number
903-683-7199
Provider Enumeration Date
02/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
763777 01 TX STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
805 North Dickinson Drive
City
State
Zip
75785
Phone Number
903-683-7201
Fax Number
903-683-7199
person
Provider Business Mailing Address Details
Address
805 North Dickinson Drive
City
State
Zip
75785
Phone Number
903-683-7201
Fax Number
903-683-7199
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
763777 (Texas)
Definition
Definition to come...
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