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

Miss. Mallori Jane Wagoner

Individual provider Personal Care Attendant · NPI 1033003116

Miss. Mallori Jane Wagoner is a Personal Care Attendant in Council Bluffs, Iowa. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Council Bluffs, IA

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1033003116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 4, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

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