Wagner, Joyce Lynn

Wagner, Joyce Lynn is an individual health care provider with primary practice located at 1553 Us Highway 1 , Vero Beach FL 32960. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wagner, Joyce Lynn can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
1553 Us Highway 1 Vero Beach FL 32960
Phone: (772) 257-8224
Fax: (772) 213-3157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102320 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102320 Florida

Profile Details

NPI number 1598720229
LBN Legal business name Wagner, Joyce Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 25th, 2018 - about 7 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 1598720229 NPPES
Florida Other PA9102320 STATE LICENSE

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