person
Jaclyn Anne Wagner, FNP
Family Nurse Practitioner in Fayetteville, Georgia
NPI 1720372964

Jaclyn Anne Wagner is a Family Nurse Practitioner based in Brooks, GA and is specialized in Family. Jaclyn Anne Wagner practices in Fayetteville, GA and has the professional credentials of FNP. The NPI Number for Jaclyn Anne Wagner is 1720372964 and holds a License No. RN206617 (Georgia).

The current practice location address for Jaclyn Anne Wagner is 1255 Highway 54 W, Fayetteville, GA and can be reached out via phone at 770-719-7911. You can also correspond with Jaclyn Anne Wagner through the mailing address at 165 WOODBRIDGE PL, BROOKS, GA - 30205-1546 (mailing address contact number: 904-864-6568).

Location: 1255 Highway 54 W, Fayetteville, GA, 30205-1546
person
Provider Profile Details
NPI Number
1720372964
Provider Name
Jaclyn Anne Wagner
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1255 Highway 54 W, Fayetteville, GA, 30205-1546
Phone Number
770-719-7911
Fax Number
Provider Enumeration Date
06/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1255 Highway 54 W
City
State
Zip
30214-4526
Phone Number
770-719-7911
Fax Number
person
Provider Business Mailing Address Details
Address
1255 Highway 54 W
City
State
Zip
30214-4526
Phone Number
770-719-7911
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN206617 (Georgia)
Definition
Definition to come...
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