Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNY WAGNER
ActiveJENNY WAGNER is a Nurse Practitioner healthcare provider located in PEORIA, Illinois. NPI 1063885556 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PEORIA, IL
Registration Details
- NPI Number
- 1063885556
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2015 (10.588245262534 yrs)
- Last Updated
- Nov 5, 2015
- License
-
209.013545 (IL)
Practice Information
- Address
-
100 NE RANDOLPH AVEPEORIA, IL, 616061919Browse IL providers · Browse ZIP 61606
- Phone
- 3096248500
- Fax
- 3096248552
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. DOREEN L LINK | NP | 1972502292 |
| JULIE A ALMS-DUBOIS | APN | 1497716823 |
| DONNA J BRENENSTALL | APN | 1407817422 |
| MARY L BRENNAN | NP | 1396789509 |
| PAMELA PECENKA | ANP | 1669418380 |
| ROBIN SCHERTZ | ANP | 1487690103 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.