JESSICA LEIGH WAGNER

DANVILLE, IL
NPI1730837634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209024574)
Enumeration Date2022-03-10
Last Update Date2022-05-03
Business Address
JESSICA LEIGH WAGNER APRN
3545 N VERMILION ST
DANVILLE, IL 61832-1100
Phone number: 217-442-8611
Mailing Address
JESSICA LEIGH WAGNER APRN
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-442-8611
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