Jason Fredrick Wagner
APRN, LMHC, MCAP | Nurse Practitioner | 7+ years Exp
111 W Coral Way, Hollywood
Florida, 33021-3860
954-964-6338
Jason Fredrick Wagner is a Hollywood, Florida based nurse practitioner with 7 years of experience as Nurse Practitioner. He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jason Fredrick Wagner is APRN11004343 for Psych/Mental Health NP in Florida. His current practice location is 111 W Coral Way, Hollywood. Patients can reach him at 954-964-6338 or can fax him at 954-965-1327. Jason Fredrick Wagner is APRN, LMHC, MCAP with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1720536691.
Jason Fredrick Wagner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jason Fredrick Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jason Fredrick Wagner |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | APRN, LMHC, MCAP |
| Experience: | 7+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 111 W Coral Way, Hollywood,
Florida, 33021-3860 |
| Phone: | 954-964-6338 |
| Fax: | 954-965-1327 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2668806159 |
| Enrollment ID: | I20191216001077 |
| NPI Number: | 1720536691 |
| NPI Enumeration Date: | 20 Sep, 2016 |
| NPI Last Update On: | 01 May, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jason Fredrick Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11004343 | Psych/Mental Health NP | Florida | Primary | |
| MH8961 | Counselor | Florida | Secondary | |
| MH8961 | Counselor | Florida | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jason Fredrick Wagner is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| David Lawrence Mental Health Center, Inc (0547257313) | 28 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jason Fredrick Wagner
135 Weston Rd # 236,
Weston, Florida |
| Zip: | 33326-1111 |
| Phone Number: | 954-483-5455 |
Patients can reach Jason Fredrick Wagner at
111 W Coral Way, Hollywood, Florida or can
call to book an appointment on 954-964-6338.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.