JACQUELINE DESIREE GAGNON
NPI 1952950040
Nurse Practitioner - Gerontology in Fort Walton Beach, FL

Q: What is Jacqueline Gagnon's NPI number?

The NPI number for Jacqueline Gagnon is 1952950040. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Q: What is Jacqueline Gagnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Gagnon was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since September 10, 2019

640 RANDALL ROBERTS RD, FORT WALTON BEACH, FL 32547(803) 565-4270 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacqueline Desiree Gagnon NPPES

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

JACQUELINE DESIREE GAGNON (NPI 1952950040) is an individual gerontology provider in Fort Walton Beach, Florida, licensed in Florida (APRN11003988) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1952950040

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJACQUELINE DESIREE GAGNON

Location Address640 RANDALL ROBERTS RDFort Walton Beach, FL 32547-1921

Mailing Address640 Randall Roberts RdFort Walton Beach, FL 32547-1921 · (803) 565-4270

Phone(803) 565-4270

Sole ProprietorNo

Enumeration DateSeptember 10, 2019

✔ NPI 1952950040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11003988

640 RANDALL ROBERTS RD, Fort Walton Beach, FL 32547

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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 Jacqueline Gagnon's NPI number?

The NPI number for Jacqueline Gagnon is 1952950040. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Jacqueline Gagnon located?

Jacqueline Gagnon practices at 640 Randall Roberts Rd, Fort Walton Beach, FL 32547. The listed phone number is (803) 565-4270.

What is Jacqueline Gagnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Jacqueline Gagnon was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.