Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Wynn, PA-C

Individual provider Physician Assistant · NPI 1356770887

Jaclyn Wynn, PA-C is a Physician Assistant in Gainesville, Florida. Qualified in 2013, 13 years ago. Practices with Shands-Solantic Joint Venture LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6440 W Newberry Rd Ste 401
Gainesville, FL 32605-4381
Phone: (352) 332-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9107604 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9107604 (FL)

Record details

NPI number1356770887
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESNovember 5, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Shands-Solantic Joint Venture Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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