Jessica Green-Wagnon

NPI #1518314749 in Afton, Oklahoma

Provider Information

NPI Number: 1518314749
Entity Type: Individual
Name: Jessica Green-Wagnon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 138 S. MAIN
City: Afton
State: Oklahoma
ZIP Code: 74331-1822
Phone: (918) 257-4244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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