Individual provider · Type 1 NPI
Jacqueline Desiree Gagnon
Gerontology Nurse Practitioner · Fort Walton Beach, FL
NPI number
1952950040
Active
Practice location
640 Randall Roberts Rd
Fort Walton Beach, FL 32547-1921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN11003988 (FL) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Fort Walton Beach
About NPI 1952950040
Jacqueline Desiree Gagnon's National Provider Identifier is 1952950040, issued on Sep 10, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Sep 10, 2019.