Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ernestine Wagner, PA, Inc

Organization Physician Assistant · NPI 1184860074

Ernestine Wagner, PA, Inc provides Physician Assistant services in North Tazewell, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29306 G C Peery Hwy
North Tazewell, VA 24630-9192 Not confirmed with CMS for 17 years — call before visiting
Phone: (276) 979-1309
Fax: (188) 851-0261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110001577 (VA)

Record details

NPI number1184860074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernestine Wagner — Owner · (276) 979-1309
NPI enumeratedDecember 23, 2008
Last updated in NPPESDecember 23, 2008
Mailing address29306 G C Peery Highway, North Tazewell, VA 24630-9192

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