Madison Moore Wagner
FNP-C | Nurse Practitioner
1107 E Marshall Ave, Longview
Texas, 75601-5602
903-758-2610
Madison Moore Wagner is a Longview, Texas based nurse practitioner. Active license number of Madison Moore Wagner is 1128039 for Family in Texas. Her current practice location is 1107 E Marshall Ave, Longview. Patients can reach her at 903-758-2610 or can fax her at 903-758-7081. Madison Moore Wagner is FNP-C and her NPI number (Unique professional ID assigned by NPPES) is 1538848296.
Madison Moore 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:
Madison Moore 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: | Madison Moore Wagner |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP-C |
| Practice Address: | 1107 E Marshall Ave, Longview,
Texas, 75601-5602 |
| Phone: | 903-758-2610 |
| Fax: | 903-758-7081 |
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.
| NPI Number: | 1538848296 |
| NPI Enumeration Date: | 11 Jul, 2023 |
| NPI Last Update On: | 26 Aug, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Madison Moore Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| 1128039 | Family | Texas | Primary | |
| 1128039 | Nurse Practitioner | Texas | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Madison Moore Wagner
1107 E Marshall Ave,
Longview, Texas |
| Zip: | 75601-5602 |
| Phone Number: | 903-758-2610 |
| Fax Number: | 903-758-7081 |
Patients can reach Madison Moore Wagner at
1107 E Marshall Ave, Longview, Texas or can
call to book an appointment on 903-758-2610.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.