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

Mollie Wagner

Individual provider Registered Nurse · NPI 1174470405

Mollie Wagner is a Registered Nurse in Jefferson, Louisiana. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

1514 Jefferson Hwy
Jefferson, LA 70121-2451
Phone: (504) 842-3000
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 887322 (MS)

Record details

NPI number1174470405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 15, 2026
Mailing address1514 Jefferson Hwy, Jefferson, LA 70121-2451

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