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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0222X | Nurse Practitioner, Pediatrics, Critical Care | 1076101 | TX | Yes |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | AC002979 | MD | |
| 363LP0222X | Nurse Practitioner, Pediatrics, Critical Care | R214732 | MD |
Other names
- Jessica Lachelle Wagner (Former Name)
Practice location
22 S Greene StBaltimore, MD 21201-1590
Phone 410-328-8667
Mailing address
6651 Main St Ste E1420Houston, TX 77030-2432
Phone 832-826-6240
Other practice locations
800 E Dawson St
Tyler, TX 75701-2036
Tyler, TX 75701-2036
Phone 903-606-5956
6621 Fannin St
Houston, TX 77030-2399
Houston, TX 77030-2399
Phone 832-826-6240
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Critical Care Pediatric Nurse Practitioner providers in Baltimore, MD
- Julianna Provost Amorese, CRNPNPI 1881092377
- Traci Elizabeth Antes, MSN, RN, CPN, CPNPACNPI 1447672308
- Elena BertolinoNPI 1285051896
- Lauren Booth, CPNP-ACNPI 1891235214
- Casey Naughton Bor, CPNP-ACNPI 1720487499
- Elise BuckwalterNPI 1699281576
- Skyler Coelho, DNP, APRN, CPNP-ACNPI 1912692823
- Patricia Dix, CRNP-AC PEDIATRICSNPI 1316418908
- Lydia Durham, CPNP-ACNPI 1316716749
- Ann Marie Felauer, APNP, CPNPNPI 1417022294
All 36 Critical Care Pediatric Nurse Practitioner providers in Baltimore · All 45,752 providers in Baltimore
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.