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

Carly Jean Wagner, NP

Individual provider Nurse Practitioner · NPI 1043738214

Carly Jean Wagner, NP is a Nurse Practitioner in Washington, District of Columbia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

50 Irving St NW
Washington, DC 20422-0001
Phone: (202) 717-6846
Fax: (830) 239-9756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024175304 (VA)

Record details

NPI number1043738214
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 7, 2017
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023

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