Jeannene Donna Wagner, LPN
Licensed Practical Nurse in Scottsville, NY. Individual provider (NPI-1).
NPI number1003377516
StatusActive
Last updated in NPPESMar 27, 2019
Details
- NPI
- 1003377516
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jeannene Donna Wagner
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2019
- Last updated
- Mar 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 324664 | NY | Yes |
Practice location
9 Rochester StScottsville, NY 14546-1331
Phone 585-315-8198
Mailing address
9 Rochester StScottsville, NY 14546-1331
Phone 585-315-8198
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All 17 Licensed Practical Nurse providers in Scottsville · All 53 providers in Scottsville
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