Whalio Doctors

NPI 1013050095

Debra Lynn Wagner, CNMARNP

Practitioner Advanced Practice Midwife Jacksonville, FL

Practice location

Address
2080 Child St, Jacksonville, FL 32214-5005
Phone
(904) 542-7300
Mailing address
12031 Morning Star CT, Jacksonville, FL 32246-1376

Registered specialties

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence ARNP1422352 (FL)

Registry record

NPI
1013050095
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.