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Miss Myesha J. Wagner, FNP-C
Nurse Practitioner in Fayetteville, Georgia
NPI 1952032112

Myesha J. Wagner is a Nurse Practitioner based in Atlanta, GA. Myesha J. Wagner practices in Fayetteville, GA and has the professional credentials of FNP-C. The NPI Number for Myesha J. Wagner is 1952032112 and holds a License No. RN258179 (Georgia).

The current practice location address for Myesha J. Wagner is 132 Old Norton Rd Ste 200, Fayetteville, GA and can be reached out via phone at 678-817-1117 and via fax at 678-817-0823.

Location: 132 Old Norton Rd Ste 200, Fayetteville, GA, 30341-1071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952032112
Provider Name
Myesha J. Wagner
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
132 Old Norton Rd Ste 200, Fayetteville, GA, 30341-1071
Phone Number
678-817-1117
Fax Number
678-817-0823
Provider Enumeration Date
06/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G34406A 01 GA MEDICARE PTAN
003274648A 05 GA
institution
Provider Business Practice Location Address Details
Address
132 Old Norton Rd Ste 200
City
Fayetteville
State
Georgia
Zip
30215-4873
Phone Number
678-817-1117
Fax Number
678-817-0823
person
Provider Business Mailing Address Details
Address
132 Old Norton Rd Ste 200
City
Fayetteville
State
Georgia
Zip
30215-4873
Phone Number
678-817-1117
Fax Number
678-817-0823
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN258179 (Georgia)
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.
RN258179 (Georgia)
Definition
Definition to come...
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