Individual
MS. DEBRA LYNN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7300
Mailing address
12031 MORNING STAR CT, JACKSONVILLE, FL 32246-1376
(904) 998-2066
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP1422352
FL
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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