Ebony Wagner, - Licensed Practical Nurse in Florissant, MO

Ebony Wagner, is a Licensed Practical Nurse based in Florissant, Missouri. Ebony Wagner is licensed to practice in Missouri (license number 2013023536) and her current practice location is 2325 Patterson Rd, Florissant, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 620-5553.

NPI number for Ebony Wagner is 1417402397 and her current mailing address is 2325 Patterson Rd, Florissant, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417402397.

Contact Information

Ebony Wagner,
2325 Patterson Rd,
Florissant, MO 63031-2205
(314) 620-5553
(314) 584-5002



Provider's Profile

Full NameEbony Wagner
GenderFemale
SpecialityLicensed Practical Nurse
Location2325 Patterson Rd, Florissant, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417402397
  • Provider Enumeration Date: 08/19/2016
  • Last Update Date: 08/19/2016

Medical Identifiers

Medical identifiers for Ebony Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417402397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 2013023536 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ebony Wagner,
2325 Patterson Rd,
Florissant, MO 63031-2205

Ph: (314) 620-5553
Ebony Wagner,
2325 Patterson Rd,
Florissant, MO 63031-2205

Ph: (314) 620-5553

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› Verified 1 days ago


Licensed Practical Nurse Nurses in Florissant, MO

Jasmine Shantelle Burns, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15484 Jost Main St, Florissant, MO 63034
Phone: 314-458-9525    
Mrs. Brenda L Grant, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4585 Washington St, Suite A-4, Florissant, MO 63033
Phone: 314-402-4693    
Ms. Yolonda Marchelle Mckinnies, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3815 Woodcrest Dr, Florissant, MO 63033
Phone: 314-922-1172    Fax: 314-830-2328
Quonisha Hollie, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3932 Arbre Ln, Florissant, MO 63034
Phone: 314-285-1049    
Sharon Denise Cox,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4045 Ashbury Crossings Dr, Florissant, MO 63034
Phone: 314-550-7651    
Keri Mcgill,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 16727 N Fork Ridge Dr, Florissant, MO 63034
Phone: 314-922-6174    

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