Individual
JAMIE LYNN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 SAINT JOHNSBURY RD, LITTLETON, NH 03561-3437
(603) 444-9609
(603) 444-9095
Mailing address
600 SAINT JOHNSBURY RD, LITTLETON, NH 03561-3442
(603) 444-9609
(603) 444-9095
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R196725
MD
363LP2300X
Primary Care Nurse Practitioner
R196725
MD
Other
Enumeration date
03/06/2015
Last updated
03/19/2024
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