Individual
MR. WADNER JOCELYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
119 S MAIN ST # 140, KERNERSVILLE, NC 27284-2757
(516) 209-1905
Mailing address
119 S MAIN ST # 140, KERNERSVILLE, NC 27284-2757
(516) 209-1905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303652-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025032882
NC
Other
Enumeration date
04/16/2012
Last updated
03/11/2026
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