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

Jessica Noel Wagner, FNP-C

Individual provider Family Nurse Practitioner · NPI 1174130629

Jessica Noel Wagner, FNP-C is a Family Nurse Practitioner in Riverton, Utah. Licensed in Utah. Registered with an NPI since 2020.

Licensed in
UT
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

12828 S 3600 W Ste 101
Riverton, UT 84065-6853
Phone: (480) 316-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9073204-4405 (UT)

Record details

NPI number1174130629
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2020
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020

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