Jamie Lee Wagner, APNP
NPI #1902511090 in Prairie Du Sac, Wisconsin
Provider Information
- NPI Number
- 1902511090
- Entity Type
- Individual
- Name
- Jamie Lee Wagner, APNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- APNP
- Enumeration Date
- Jan 23, 2023
- Last Updated
- Dec 18, 2024
Practice Location
- Address
- 250 26TH ST STE 120
- City
- Prairie Du Sac
- State
- Wisconsin
- ZIP Code
- 53578-2205
- Phone
- (608) 643-6060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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