Wagner Gregg, Jessica Lachelle

Wagner Gregg, Jessica Lachelle is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1590. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Wagner Gregg, Jessica Lachelle can be contacted via phone (410) 328-8667.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1590
Phone: (410) 328-8667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X AC002979 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X R214732 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 1076101 Texas

Profile Details

NPI number 1033740980
LBN Legal business name Wagner Gregg, Jessica Lachelle
Credentials MSN, CRNP, CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2020
Last updated Apr 30th, 2024 - about 8 months 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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