Jacqueline Wagner, NP

NURSE PRACTITIONER

1875 N Lakewood Dr

Suite 205

Coeur D Alene, ID 838144928

(276) 252-1177

**NPI:** 1447598362

**Med School:** OTHER

**Experience:** 13 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

1875 N Lakewood Dr, Suite 205
Coeur D Alene, ID 838144928

Phone: (276) 252-1177

**Group ID:** | **Group Size:** members

NORTHWEST SPECIALTY HOSPITAL Type: Hospital
1593 EAST POLSTON AVENUE
Phone: (208) 262-2300
Medicare CCN: 130066 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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