Search › Ohio › 363LA2100X
Jennifer Wagner
NPI 1003736984 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2400 Miami Valley Dr
Centerville, OH 45459 - Phone
- (937) 208-8394
- Fax
- (937) 641-2780
- Organisation at this address
- Patrick Mezu Md Llc
Edgar Santillan Md Llc
Fidelity Health Care Inc
Anesthesiology Services Network
Dayton Cardiology Consultants IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Additional practice sites
- 3130 N County Road 25a, Troy, OH
- 1 Wyoming St Ste Se3100b, Dayton, OH
- 9000 N Main St, Englewood, OH
- 1 Medical Center Dr, Middletown, OH
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio