Individual
MRS. JESSICA LACHELLE WAGNER GREGG
Active
Individual
MRS. JESSICA LACHELLE WAGNER GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, CPNP-AC
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
AC002979
MD
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1076101
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
R214732
MD
Other
Enumeration date
01/29/2020
Last updated
11/17/2025
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