EARNESTINE WAGNER CRNP NPI 1023967098

NPI Information

  • NPI: 1023967098
  • Provider Name: EARNESTINE WAGNER, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 411 WILSON AVE W
    THOMASVILLE, AL
    ZIP 36784
  • Phone: (334) 609-1970

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NPI Details

Earnestine Wagner, CRNP is a family nurse practitioner in Thomasville, AL. Earnestine Wagner, CRNP NPI is 1023967098. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

411 WILSON AVE W
THOMASVILLE, AL
ZIP 36784-015
Phone: (334) 609-1970

The enumeration date for this NPI number is 1/23/2026 and was last updated on 1/23/2026.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1-118050ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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