Wagner, Debra Lynn

Wagner, Debra Lynn is an individual health care provider with primary practice located at 2080 Child St , Jacksonville FL 32214-5005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Wagner, Debra Lynn can be contacted via phone (904) 542-7300.

Contact Information

Primary practice address
2080 Child St Jacksonville FL 32214-5005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP1422352 Florida

Profile Details

NPI number 1013050095
LBN Legal business name Wagner, Debra Lynn
Credentials CNM, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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