Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Anne Wagner, FNP

Individual provider Nurse Practitioner · NPI 1720372964

Jaclyn Anne Wagner, FNP is a Nurse Practitioner in Gainesville, Florida. Qualified in 2010, 16 years ago. Practices with Villages Regional Hospital Physician Services LLC, a 200-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2011
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-5776
Phone: (352) 392-4541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 Health Park Blvd, Saint Augustine, FL 32086-5776 — (904) 823-3401
  • 1255 Highway 54 W, Fayetteville, GA 30214-4526 — (770) 719-7911

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11020833 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11020833 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence APRN11020833 (FL)

Record details

NPI number1720372964
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 6, 2011
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Villages Regional Hospital Physician Services Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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