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Jessica Lachelle Wagner Gregg, MSN, CRNP, CPNP-AC

Nurse Practitioner, Pediatrics, Critical Care in Baltimore, MD. Individual provider (NPI-1).

NPI number1033740980
StatusActive
Last updated in NPPESNov 17, 2025

Details

NPI
1033740980
Entity type
Individual (NPI-1)
Name
Mrs. Jessica Lachelle Wagner Gregg
Credential
MSN, CRNP, CPNP-AC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 29, 2020
Certification date
Nov 17, 2025
Last updated
Nov 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0222X Nurse Practitioner, Pediatrics, Critical Care1076101TXYes
2080P0203X Pediatrics, Pediatric Critical Care MedicineAC002979MD
363LP0222X Nurse Practitioner, Pediatrics, Critical CareR214732MD

Other names

  • Jessica Lachelle Wagner (Former Name)

Practice location

22 S Greene St
Baltimore, MD 21201-1590

Phone 410-328-8667

Mailing address

6651 Main St Ste E1420
Houston, TX 77030-2432

Phone 832-826-6240

Other practice locations

800 E Dawson St
Tyler, TX 75701-2036

Phone 903-606-5956

6621 Fannin St
Houston, TX 77030-2399

Phone 832-826-6240

Is something wrong?

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Other Critical Care Pediatric Nurse Practitioner providers in Baltimore, MD

All 36 Critical Care Pediatric Nurse Practitioner providers in Baltimore · All 45,752 providers in Baltimore

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