Search › Florida › Psychiatric/Mental Health Nurse Practitioner

Jason Wagner, APRN, LMHC, MCAP

NPI 1720536691 · on the registry since 2016 · sole proprietor

Practice

Address
111 W Coral Way
Hollywood, FL 33021
Phone
(954) 964-6338
Fax
(954) 965-1327
Organisation at this address
Seminole Tribe Of Florida Health Department
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
101YA0400X
101YM0800X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-01

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 Florida