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Individual

DR. JASMINE WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN-RX, FNP-BC

Contact information

Practice address
94-229 WAIPAHU DEPOT ST STE 404, WAIPAHU, HI 96797-3034
(808) 600-5197
Mailing address
94-229 WAIPAHU DEPOT ST STE 308, WAIPAHU, HI 96797-3033
(808) 582-8881
(808) 582-8883

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3651
HI

Other

Enumeration date
05/25/2022
Last updated
09/13/2024
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