Jacqueline Desiree Gagnon
Nurse Practitioner - Gerontology
640 Randall Roberts Rd, Fort Walton Beach
Florida, 32547-1921
803-565-4270
Jacqueline Desiree Gagnon is a Fort Walton Beach, Florida based nurse practitioner who is specialized as Gerontology nurse. Active license number of Jacqueline Desiree Gagnon is APRN11003988 for Gerontology in Florida. Her current practice location is 640 Randall Roberts Rd, Fort Walton Beach. Patients can reach her at 803-565-4270 with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1952950040.
Jacqueline Desiree Gagnon is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Jacqueline Desiree Gagnon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jacqueline Desiree Gagnon |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Practice Address: | 640 Randall Roberts Rd, Fort Walton Beach,
Florida, 32547-1921 |
| Phone: | 803-565-4270 |
Professional Identification Codes:
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.
| NPI Number: | 1952950040 |
| NPI Enumeration Date: | 10 Sep, 2019 |
| NPI Last Update On: | 10 Sep, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Desiree Gagnon are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11003988 | Gerontology | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacqueline Desiree Gagnon
640 Randall Roberts Rd,
Fort Walton Beach, Florida |
| Zip: | 32547-1921 |
| Phone Number: | 803-565-4270 |
Patients can reach Jacqueline Desiree Gagnon at
640 Randall Roberts Rd, Fort Walton Beach, Florida or can
call to book an appointment on 803-565-4270.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.