JESSICA LACHELLE WAGNER GREGG

BALTIMORE, MD
NPI1033740980
Former NameJESSICA LACHELLE WAGNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: TX  1076101)
Additional Taxonomies2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: MD  AC002979)
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: MD  R214732)
Enumeration Date2020-01-29
Last Update Date2024-04-30
Business Address
Mrs. JESSICA LACHELLE WAGNER GREGG MSN, CRNP, CPNP-AC
22 S GREENE ST
BALTIMORE, MD 21201-1590
Phone number: 410-328-8667
Mailing Address
Mrs. JESSICA LACHELLE WAGNER GREGG MSN, CRNP, CPNP-AC
6651 MAIN ST STE E1420
HOUSTON, TX 77030-2432
Phone number: 832-826-6240