Wagner, Jeannene Rochelle

Wagner, Jeannene Rochelle is an individual health care provider with primary practice located at 5320 N Lovington Hwy , Hobbs NM 88240-9139. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wagner, Jeannene Rochelle can be contacted via phone (575) 392-1973.

Contact Information

Primary practice address
5320 N Lovington Hwy Hobbs NM 88240-9139
Phone: (575) 392-1973
Fax: (575) 392-2030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X R26431 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 03552 New Mexico

Profile Details

NPI number 1730635566
LBN Legal business name Wagner, Jeannene Rochelle
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2016
Last updated Feb 3rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730635566 NPPES
New Mexico Other 1K3729 MEDICARE
New Mexico Other 1730635566 MEDICARE

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