Individual
JESSICA R WAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
51 CHESTNUT ST E, STE 3, NASHVILLE, IN 47448-7607
(812) 988-6877
(812) 988-6631
Mailing address
PO BOX 331, NASHVILLE, IN 47448-0331
(812) 988-6877
(812) 988-6631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003598A
IN
Other
Enumeration date
06/22/2009
Last updated
12/07/2016
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