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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON FREDRICK WAGNER, APRN, LMHC, MCAP

Active Sole Proprietor

JASON FREDRICK WAGNER, APRN, LMHC, MCAP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in HOLLYWOOD, Florida. NPI 1720536691 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · HOLLYWOOD, FL

Registration Details

NPI Number
1720536691
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2016 (9.9140202790306 yrs)
Last Updated
May 1, 2024
Licenses
MH8961 (FL)
MH8961 (FL)
APRN11004343 (FL)
Sole Proprietor
Yes

Practice Information

Address
111 W CORAL WAY
HOLLYWOOD, FL, 330213860
Browse FL providers · Browse ZIP 33021
Phone
9549646338
Fax
9549651327
Additional Specialty
Mental Health Counselor

Other Psychiatric/Mental Health Nurse Practitioner Providers in HOLLYWOOD, FL

Name Credential NPI
ROLANDO Q SANTOS ARNP 1124094701
DR. GEORGE VINCENT CIOFFI DNP, APRN, PMHNP-BC 1578529343
PAULETTE GOPMAN PERLOWIN ARNP 1639230899
JEANETTE VINOV STEINBERG APRN 1528239688
MICHAEL A LABEN ARNP 1427344092
ANDREA FAITHLYN WILLIAMS ARNP 1255628327
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.