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JORDAN ANN WAGNER
NPI 1760939136
Student in an Organized Health Care Education/Training Program in Fallston, MD

Active since September 02, 2016
3351 FALLSTON RD, FALLSTON, MD 21047(443) 299-8208 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Ann Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN ANN WAGNER (NPI 1760939136) is an individual student in an organized health care education/training program in Fallston, Maryland and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1760939136
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN ANN WAGNER
Location Address3351 FALLSTON RDFallston, MD 21047-1020
Mailing Address3351 Fallston RdFallston, MD 21047-1020 · (443) 299-8208
Phone(443) 299-8208
Sole ProprietorYes
Enumeration DateSeptember 2, 2016
✔ NPI 1760939136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
3351 FALLSTON RD, Fallston, MD 21047
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Wagner's NPI number?

The NPI number for Jordan Wagner is 1760939136. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Jordan Wagner located?

Jordan Wagner practices at 3351 Fallston Rd, Fallston, MD 21047. The listed phone number is (443) 299-8208.

What is Jordan Wagner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Wagner was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.