Jaclyn Anne Wagner is a Gainesville, Florida based nurse practitioner with 15 years of experience in . She completed her graduation in 2010. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jaclyn Anne Wagner is APRN11020833 for Family in Florida. Her current practice location is 1600 Sw Archer Rd, Gainesville. Patients can reach her at 352-392-4541. Jaclyn Anne Wagner is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1720372964. Jaclyn Anne Wagner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jaclyn Anne Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4880862630
Enrollment ID:
I20110721000256
NPI Number:
1720372964
NPI Enumeration Date:
06 Jun, 2011
NPI Last Update On:
07 May, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaclyn Anne Wagner are as mentioned below.
License Number
Specialization
State
Status
APRN11020833
Family
Florida
Primary
APRN11020833
Family Medicine
Florida
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(110215)
Fayetteville, GA
Acute Care Hospital
(110229)
Newnan, GA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jaclyn Anne Wagner is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Radiology And Medical Imagery Of Newnan (5395738348)
27
Other Medical Identifiers:
Other legacy medical identifiers associated with Jaclyn Anne Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
126442300
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jaclyn Anne Wagner Po Box 740861, Atlanta, Georgia
Zip:
30374-0861
Phone Number:
904-819-4539
Fax Number:
904-819-4906
Patients can reach Jaclyn Anne Wagner at 1600 Sw Archer Rd, Gainesville, Florida or can call to book an appointment on 352-392-4541.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.