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

Jennifer Wagner, MD

Individual provider Pediatrics Physician · NPI 1427445279

Jennifer Wagner, MD is a Pediatrics Physician in Clover, South Carolina. Licensed in North Carolina, South Carolina and Tennessee. Registered with an NPI since 2015.

Licensed in
NC, SC, TN
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

534 Nautical Dr Ste 2
Clover, SC 29710-8182
Phone: (803) 619-4121
Fax: (803) 965-3119
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 96214 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 2026-00005 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 57147 (TN)

Record details

NPI number1427445279
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2015
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address534 Nautical Dr Ste 2, Clover, SC 29710-8182

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