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

Jennifer Wagstaff

Individual provider Specialist · NPI 1568919561

Jennifer Wagstaff is a Specialist in Watertown, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
Specialties on file
3

Practice location Address checks out

420 Gaffney Dr
Watertown, NY 13601-1823
Phone: (315) 836-1226
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 969025151 (NY)
Specialist Taxonomy 174400000X · Licence 706197131 (NY)
Specialist Taxonomy 174400000X · Licence 527936111 (NY)

Record details

NPI number1568919561
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2016
Last updated in NPPESSeptember 7, 2016

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