MR. SETH CHRISTOPHER JACOB-WAGNER NP NPI 1003398959

NPI Information

MR. Seth Christopher Jacob-wagner, NP is a family nurse practitioner in Rochester, NY with 6 years of experience. MR. Seth Christopher Jacob-wagner, NP NPI is 1003398959. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 UNIVERSITY AVE
ROCHESTER, NY
ZIP 14605-992
Phone: (585) 546-2271

The NPI 1003398959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 1/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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