Individual
JENNIFER ELLA WAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, NP-C
Contact information
Practice address
6500 E 2ND ST, CASPER, WY 82609-4338
(307) 577-5100
(307) 233-0613
Mailing address
6500 E 2ND ST, CASPER, WY 82609-4338
(307) 577-5100
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
44650
WY
Other
Enumeration date
09/17/2019
Last updated
10/19/2023
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