| Jena Wagner, APRN | |
|
561 Summer Blvd Apt 303, Lakemoor, IL 60051-6641 | |
| (847) 650-8958 | |
| Not Available |
| Full Name | Jena Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 561 Summer Blvd Apt 303, Lakemoor, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598629172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041508241 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.035260 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jena Wagner, APRN 561 Summer Blvd Apt 303, Lakemoor, IL 60051-6641 Ph: () - | Jena Wagner, APRN 561 Summer Blvd Apt 303, Lakemoor, IL 60051-6641 Ph: (847) 650-8958 |
Mrs. Josette Dutcher, APRN-BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27655 Illinois Route 120, Lakemoor, IL 60051 Phone: 815-458-1500 Fax: 815-458-1516 | |
Raman Deep Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 649 Morris Ct, Lakemoor, IL 60051 Phone: 847-337-8249 |