Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ernestine Wagner, PA, Inc

Organization Physician Assistant · NPI 1184860074

Ernestine Wagner, PA, Inc is a Physician Assistant in North Tazewell, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29306 G C Peery Hwy
North Tazewell, VA 24630-9192
Phone: (276) 979-1309
Fax: (188) 851-0261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110001577 (VA)

Record details

NPI number1184860074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernestine Wagner — Owner · (276) 979-1309
NPI enumeratedDecember 23, 2008
Last updated in NPPESDecember 23, 2008
Mailing address29306 G C Peery Highway, North Tazewell, VA 24630-9192

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