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Jacqueline
Jacqueline
Gagnon
Gerontology
Advanced practice registered nurse
Fort Walton Beach,
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Florida Health Care Practitioner Data Portal
Full name
JACQUELINE GAGNON
Job Title
Advanced Practice Registered Nurse
Location
Ft Walton Beach
LIC ID
639901
Current License Expiration Date
30/04/2025
Original Date
05/09/2019
Professional Rank Code
APRN
Effective Date
05/09/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
OKALOOSA
Mailing Address Line 2
Suite 2
Practice Location Address Line 1
339 Racetrack Rd Northwest
Practice Location Address Line 2
Suite 2
Practice Location Address City
FT WALTON BEACH
Practice Location Address State
FL
Practice Location Address Zipcode
32547
Mode Code
Autonomous Practice APRN, Nurse Practitioner
Prescribing Indicator
N
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