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

Jacqueline Desiree Gagnon

Individual provider Gerontology Nurse Practitioner · NPI 1952950040

Jacqueline Desiree Gagnon is a Gerontology Nurse Practitioner in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

640 Randall Roberts Rd
Fort Walton Beach, FL 32547-1921
Phone: (803) 565-4270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN11003988 (FL)

Record details

NPI number1952950040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019

Other providers in Fort Walton Beach