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KRISTINA L WAGGONER PMHNP-BC
NPI 1770823759
Nurse Practitioner - Psychiatric/Mental Health in Rusk, TX

Active since February 27, 2013
805 NORTH DICKINSON DRIVE, RUSK, TX 75785(903) 683-7201(903) 683-7199 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristina L Waggoner Pmhnp-bc NPPES

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

KRISTINA L WAGGONER PMHNP-BC (NPI 1770823759) is an individual psychiatric/mental health provider in Rusk, Texas, licensed in Texas (763777) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1770823759
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTINA L WAGGONERCredential: PMHNP-BC
Location Address805 NORTH DICKINSON DRIVERusk, TX 75785
Mailing Address805 North Dickinson DriveRusk, TX 75785 · (903) 683-7201 · Fax (903) 683-7199
Phone(903) 683-7201
Fax(903) 683-7199
Sole ProprietorNo
Enumeration DateFebruary 27, 2013
Last NPPES UpdateMay 19, 2014
✔ NPI 1770823759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 763777
805 NORTH DICKINSON DRIVE, Rusk, TX 75785
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Other Identifiers 1

Other763777TX · State License

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 Kristina Waggoner's NPI number?

The NPI number for Kristina Waggoner is 1770823759. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Kristina Waggoner located?

Kristina Waggoner practices at 805 North Dickinson Drive, Rusk, TX 75785. The listed phone number is (903) 683-7201.

What is Kristina Waggoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kristina Waggoner was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.