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

Jacquelynn Wagoner, DO

Individual provider Pediatrics Physician · NPI 1184011074

Jacquelynn Wagoner, DO is a Pediatrics Physician in Fresno, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 499-6556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 20A15405 (CA)

Record details

NPI number1184011074
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 19, 2015
Last updated in NPPESJanuary 10, 2020
Certification dateJanuary 10, 2020
Mailing address2625 E Divisadero St, Fresno, CA 93721-1431

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