JACLYN VANWAGNER MSN APRN FNP-C
NPI 1053923052
Nurse Practitioner - Family in Wheaton, MD

Active since August 20, 2020
11406 GEORGIA AVE STE F, WHEATON, MD 20902(301) 200-2230 Get Directions Write a Review

NPPES record last updated: November 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2025, Apr 30, 2021, Aug 20, 2020 (3 updates tracked since 2020).

About Jaclyn Vanwagner Msn Aprn Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN VANWAGNER MSN APRN FNP-C (NPI 1053923052) is an individual family provider in Wheaton, Maryland, licensed in Maryland (R206681) and active in the NPI registry since August 2020. She maintains a secondary practice location in Rockville.

NPPES Registry Identity

NPI1053923052
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN VANWAGNERCredential: MSN APRN FNP-C
Location Address11406 GEORGIA AVE STE FWheaton, MD 20902-1944
Mailing Address101 N Adams StRockville, MD 20850-2217 · (301) 857-7758
Sole ProprietorNo
Enumeration DateAugust 20, 2020
Last NPPES UpdateNovember 23, 20253 updates tracked since enumeration
NPPES CertifiedNovember 23, 2025
NPI 1053923052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R206681
11406 GEORGIA AVE STE F, Wheaton, MD 20902

Secondary Practice Location 1

Location 1101 N Adams StRockville, MD 20850-2217 · Phone (301) 857-7758

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
11406 GEORGIA AVE STE F
WHEATON, MD 20902
Physician Assistant
11406 GEORGIA AVE STE F
WHEATON, MD 20902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Vanwagner's NPI number?

The NPI number for Jaclyn Vanwagner is 1053923052. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Jaclyn Vanwagner located?

Jaclyn Vanwagner practices at 11406 Georgia Ave Ste F, Wheaton, MD 20902. The listed phone number is (301) 200-2230.

What is Jaclyn Vanwagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Vanwagner was last updated on November 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.