JAMIE LYNN WAGNER (NPI# 1245623842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245623842 |
| Entity Type | Individual |
| Full Name | JAMIE LYNN WAGNER |
| Practice Address |
201 S Cleveland Ave Hagerstown MD 21740-5745 |
| Practice Telephone | 4109603089 |
| Mailing Telephone | 3017453777 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R196725 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R196725 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003272253 | Jamie Dee Wagner | Specialist | 89 Westgay Dr Apt B, Akron, OH 44313-7364 | 2016-01-04 |
| 1073557229 | Jamie R Wagner | Counselor | 11447 2nd St, Suite 9b, Roscoe, IL 61073-9522 | 2006-06-16 |
| 1801418843 | Jamie Wagner | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-05-13 |
| 1598204000 | Jamie Lynn Wagner | Physical Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2017-02-16 |
| 1154534733 | Jamie Lynn Wagner | Surgery | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2007-05-08 |
| Street Address |
201 S CLEVELAND AVE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346268182 | Joseph Bruce Burley | Dentist | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2006-07-18 |
| 1225546401 | Tiffani Sarah Graves | Dentist | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2018-01-22 |
| 1194276832 | Walnut Street Community Health Center Inc. | Clinic/Center | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2016-10-18 |
| 1568859437 | Mutsa Nyakabau | Pediatrics | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2015-04-18 |
| 1528483161 | Jodi Mayo | Physician Assistant | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2014-02-19 |
| 1487930913 | Walnut Street Community Health Center Inc | Clinic/Center | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2011-10-28 |
| 1104135268 | Walnut Street Community Health Center | Dentist | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2010-10-06 |
| 1639337405 | Charles J Supernavage, Md, PC | Audiologist | 201 S Cleveland Ave, Suite 403, Hagerstown, MD 21740-5745 | 2008-05-29 |
| 1982804977 | Walnut Street Community Health Center | Clinic/Center | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2007-07-19 |
| 1083743439 | Calista Christine Dickey | Acupuncturist | 201 S Cleveland Ave, Suite 404, Hagerstown, MD 21740-5745 | 2007-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194953448 | Michelle Denise Eyler | Nurse Practitioner | 222 E Oak Ridge Dr Ste 1700, Hagerstown, MD 21740-7882 | 2009-06-25 |
| 1639683048 | Rebecca Ann Johnson | Nurse Practitioner | 747 Northern Ave, Hagerstown, MD 21742-2723 | 2017-11-21 |
| 1225408206 | April Lynn Topping | Nurse Practitioner | 368 Mill St, Hagerstown, MD 21740-6138 | 2015-10-02 |
| 1578804274 | Valerie Theodora Simon | Nurse Practitioner | 1126 Opal Ct, Hagerstown, MD 21740-5940 | 2013-03-06 |
| 1083865315 | Claire A Pieri | Nurse Practitioner | 24 N Walnut St, 102, Hagerstown, MD 21740-4738 | 2008-10-06 |
| 1336315092 | Ami Elizabeth Rowe | Nurse Practitioner | 1130 Opal Ct, Hagerstown, MD 21740-5940 | 2008-05-02 |
| 1689840571 | Anne Marie Rowland | Nurse Practitioner | 12821 Oak Hill Ave, Hagerstown, MD 21742-2940 | 2008-05-01 |
| 1073646931 | Shelley Ann Castle | Nurse Practitioner | 1150 Professional Ct, Suite P, Hagerstown, MD 21740-4100 | 2007-03-13 |
| 1861431462 | Kate Meredith Smith | Nurse Practitioner | 13620 Crayton Boulevard, Hagerstown, MD 21742 | 2006-06-06 |
| 1407801947 | Sharon Lorraine Reese | Nurse Practitioner | 11110 Medical Campus Rd, Suite 143, Hagerstown, MD 21742-6700 | 2006-05-23 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on JAMIE LYNN WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.