Search › Tennessee › 163WC0200X
Jacob Wagner, DNAP
NPI 1376251009 · on the registry since 2022
Practice
- Address
- 315 Hospital Dr
Madison, TN 37115 - Phone
- (615) 732-7662
- Clinicians at this address
- 344
Additional practice sites
- 250 Park St, Bowling Green, KY
Registry record
- Primary taxonomy
- 163WC0200X
163WC0200X
- Also registered as
- 367500000X
- Licence states on file
- TN, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-07
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 Tennessee