Wagnon, Cherrie Lashae

Wagnon, Cherrie Lashae is an individual health care provider with primary practice located at 801 20Th Ave E , Jasper AL 35501-4070. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wagnon, Cherrie Lashae can be contacted via phone (205) 384-0311.

Contact Information

Primary practice address
801 20Th Ave E Jasper AL 35501-4070
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-080080 Alabama

Profile Details

NPI number 1588613616
LBN Legal business name Wagnon, Cherrie Lashae
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jan 27th, 2010 - about 15 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 1588613616 NPPES
Alabama MEDICAID 891004650

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