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Licensee Information

Nicole Jones Wagner - PA-C
0010-08715
Active
No
01/04/2019
07/15/2026

Active Supervisor

NameTypeStatusApprovedInactive
Holl, Blair Lyn, MD MD Active 02/11/2019

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
South Carolina

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 3:15:13 PM
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