Individual
JESSICA WAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
52 BUSINESS PARK DR, ALBERTVILLE, AL 35951-7201
(256) 539-2728
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1-122468
AL
363L00000X
Nurse Practitioner
Primary
1-122468
AL
Other
Enumeration date
09/19/2023
Last updated
08/25/2025
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