Search › Florida › 103T00000X
Jessica Wagner
NPI 1417003559 · on the registry since 2007 · sole proprietor
Practice
- Address
- 500 7th Ave N
St Petersburg, FL 33701 - Phone
- (727) 767-6843
- Fax
- (727) 767-4715
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 104100000X
- Sex
- Female
- Record last updated
- 2025-09-11
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 Florida