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Jessa Wagner

NPI 1326307232 · on the registry since 2012 · sole proprietor

Practice

Address
2655 Enterprise Rd
Reno, NV 89512
Phone
(775) 688-1600
Organisation at this address
State Of Nevada
State Of Nevada
State Of Nevada
State Of Nevada
State Of Nevada
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Additional practice sites

  • 6375 W Charleston Blvd Ste A-100, Las Vegas, NV

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
172V00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada