Provider Information
Last Updated : Jun 30 2025 11:06 AM
Jacquelynn M Wagoner
City Fresno |
Group UPN - UNITED HEALTH CENTERS - CHILDREN'S |
Specialty Pediatrics |
Last Name Wagoner |
First Name Jacquelynn |
Middle Name M |
Address 290 N. Wayte Ln. Ste 1300 |
State CA |
Zip Code 93701 |
Phone (877)960-3426 |
Hours Mon - Fri 9:00 AM - 5:00 PM |
Gender F |
Title D.O. |
Language 1 Spanish |
Section Number 1 |
County FRESNO |
Accepting New Patient Yes |
PPG NAME UNITED PHYSICIANS NETWORK |
Clinic Service Type FQHC |
PPG ID MFR8D |
NPI Number 1184011074 |
Access Requirement Basic |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
EXAMROOM_IND E |
EXAMTBL_IND T |
License ID 20A15405 |
Board Certified No |
Self Access Flag Facility Site Database |
PHY CCT IND N |