JACLYN WYNN (NPI# 1356770887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356770887 |
| Entity Type | Individual |
| Full Name | JACLYN WYNN |
| Credential | PA-C |
| Practice Address |
6440 W Newberry Rd Ste 401 Gainesville FL 32605-4381 |
| Mailing Address |
Po Box 140764 Gainesville FL 32614-0764 |
| Practice Telephone | 3523320030 |
| Mailing Telephone | 3523320030 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9107604 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9107604 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6440 W NEWBERRY RD STE 401 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682054 | Thom L. Tyler | Obstetrics & Gynecology | 6440 W Newberry Rd, Suite 408, Gainesville, FL 32605-4381 | 2005-07-12 |
| 1588168843 | Latashia-lika Quinnettee Lelea | Student in an Organized Health Care Education/Training Program | 6440 W Newberry Rd, Gainesville, FL 32605-4381 | 2018-03-21 |
| 1093219362 | Annamaria Grace Maples | Student in an Organized Health Care Education/Training Program | 6440 W Newberry Rd, Gainesville, FL 32605-4381 | 2018-03-21 |
| 1518461888 | Rachael Ashby Postlethwait | Student in an Organized Health Care Education/Training Program | 6440 W Newberry Rd, Gainesville, FL 32605-4381 | 2018-03-21 |
| 1104320415 | Katherine Mia Choi | Student in an Organized Health Care Education/Training Program | 6440 W Newberry Rd, Gainesville, FL 32605-4381 | 2018-03-21 |
| 1831542802 | Kristen Cook | Advanced Practice Midwife | 6440 W Newberry Rd, Suite 111, Gainesville, FL 32605-4381 | 2016-07-14 |
| 1588017651 | North Florida Women's Physicians of Gainesville, LLC | Specialist | 6440 W Newberry Rd, Suite 508, Gainesville, FL 32605-4381 | 2016-07-13 |
| 1487044426 | Lisa C Tumarkin, Mdpa | Pediatrics | 6440 W Newberry Rd, Suite 405, Gainesville, FL 32605-4381 | 2015-01-29 |
| 1588069835 | Patricia R Gruver | Pediatrics | 6440 W Newberry Rd, Suite 402, Gainesville, FL 32605-4381 | 2014-10-29 |
| 1801202494 | Jeffrey Donald Schnur | Nurse Practitioner | 6440 W Newberry Rd, Suite 102, Gainesville, FL 32605-4381 | 2014-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659806248 | Bluff Drive Medical | Physician Assistant | 954 Memorial Dr, Gainesville, GA 30501-2334 | 2017-04-21 |
| 1891085692 | Brevard Surgical Solutions L.L.C. | Physician Assistant | 11302 Nw 31st Rd, Gainesville, FL 32606-6840 | 2011-04-13 |
| 1700180627 | Julie Marie Haberski | Physician Assistant | 5630 Chestatee Landing Dr, Gainesville, GA 30506-6815 | 2011-01-06 |
| 1902853286 | Jean Dietrich Megenity | Physician Assistant | 10026 Nw 12th Ln, Gainesville, FL 32606-8017 | 2006-05-30 |
| 1366417149 | James William Becker | Physician Assistant | 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501-3466 | 2006-02-23 |
| 1578547832 | Dawn M Ferrer | Physician Assistant | 1296 Sims St Ste B, Gainesville, GA 30501-3873 | 2005-12-01 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1023643251 | Robert J Poole | Physician Assistant | 743 Spring St Ne, Gainesville, GA 30501-3899 | 2020-03-09 |
| 1912541533 | Samantha Morgan Kleiber | Physician Assistant | 1240 Jesse Jewell Pkwy Se Ste 300, Gainesville, GA 30501-3861 | 2019-11-06 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on JACLYN WYNN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.