# DR. JAMIE RENE GABBARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154475440
- **Gender:** F
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 23002259A | IN | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 12/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000199037 | ANTHEM PROVIDER NUMBER | IN |