JACLYN WAGNER, FNP

FNP

Nurse Practitioner

NPI: 1720372964IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

APRN11020833(FL)

Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

APRN11020833(FL)

Family Medicine Physician

Family Medicine

Code: 207Q00000X

APRN11020833(FL)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2010

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Contact & Hours

Address: 1255 Highway 54 W
Fayetteville, GA 30214
Phone: (770) 719-7911

Locations (3)

Practice Location

1255 Highway 54 W, Fayetteville, GA

Practice Location

1600 SW ARCHER RD, GAINESVILLE, FL

Practice Location

110 HEALTH PARK BLVD, SAINT AUGUSTINE, FL

Quick Facts

NPI: 1720372964
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 3
Locations: 3
Years in Practice: 16

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