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

Jennifer M Wagner

Individual provider Acute Care Nurse Practitioner · NPI 1003736984

Jennifer M Wagner is an Acute Care Nurse Practitioner in Centerville, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone: (937) 438-2400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0042761 (OH)

Record details

NPI number1003736984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address2862 Rochester Ave, Fairfield Township, OH 45011-0515

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