Jackie Wagner

Speech-Language Pathologist · Milan, TN

Individual Active NPI

NPI number 1184274482

Practice location

275 Stinson Rd
Milan, TN 38358-6128
Phone
(731) 487-0803

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NPI record

NPI
1184274482
Entity type
Individual (Type 1)
Enumeration date
September 18, 2019
Last updated
September 18, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

About Jackie Wagner

Jackie Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 275 Stinson Rd, Milan, TN 38358-6128. The NPI number 1184274482 was assigned on September 18, 2019 and the record was last updated on September 18, 2019.

Frequently asked questions

What is the NPI number of Jackie Wagner?

The NPI number is 1184274482.

What is the phone number of Jackie Wagner?

The phone number listed for the practice location is (731) 487-0803.

Where is Jackie Wagner located?

275 Stinson Rd, Milan, TN 38358-6128.

What is the taxonomy code for Jackie Wagner?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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