# JESSICA GAMBILL PUTMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366891202
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2016018406 | MO | — |
| 207V00000X | Obstetrics & Gynecology Physician | 39481 | OK | Yes |
| 207VG0400X | Gynecology Physician | 60525 | TN | — |

## Other

- **Enumeration date:** 06/10/2016
- **Last updated:** 07/03/2023
