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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
Contact & Hours
Via practice · 3 locations total
- Address
- 1255 Highway 54 W
Fayetteville, GA 30214 - Phone
- (770) 719-7911
Quick Facts
- NPI
- 1720372964
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 3
- Years in Practice
- 16
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