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Jordan Waggoner

NPI 1174439145 · on the registry since 2026

Practice

Address
12 Lighthouse Dr
Rehoboth Beach, DE 19971
Phone
(484) 889-6466

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-20

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 Delaware