NATHAN ANDREW WAGNER

JACKSON, MS
NPI1649000183
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  906801)
Enumeration Date2024-08-07
Last Update Date2024-08-07
Business Address
NATHAN ANDREW WAGNER NP
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
Mailing Address
NATHAN ANDREW WAGNER NP
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
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