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Individual

JENNIFER KLINE WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5353 REYNOLDS STREET, SUITE 201, SAVANNAH, GA 31405
(912) 355-5755
(912) 355-5759
Mailing address
836 E 65TH STREET, SUITE 22, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3320

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN168411
GA
363LF0000X
Family Nurse Practitioner
Primary
168411
GA

Other

Enumeration date
05/07/2015
Last updated
08/06/2021
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