NPI 1013050095
Debra Lynn Wagner, CNMARNP
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
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.