JENNY WAGNER

Nurse Practitioner

NPI: 1063885556IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

209.013545(IL)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2014

Contact & Hours

Address: 100 NE RANDOLPH AVE
PEORIA, IL 61606
Phone: (309) 624-8500

Quick Facts

NPI: 1063885556
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 12

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