Individual
JAMIE LEE WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
200841512RN
OR
363LN0000X
Neonatal Nurse Practitioner
Primary
200850080NP
OR
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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