Jackie Wagner
NPI #1649921925 in Broken Bow, Nebraska
Provider Information
- NPI Number
- 1649921925
- Entity Type
- Individual
- Name
- Jackie Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 18, 2022
- Last Updated
- Jan 18, 2022
Practice Location
- Address
- 1135 N H ST
- City
- Broken Bow
- State
- Nebraska
- ZIP Code
- 68822-1262
- Phone
- (308) 872-2982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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