# JENNIFER GAMBLE

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

## Provider details

- **NPI number:** 1558143032
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | 11977 | GA | — |
| 207RC0000X | Cardiovascular Disease Physician | 11977 | GA | — |
| 363A00000X | Physician Assistant | 11977 | GA | Yes |

## Other

- **Enumeration date:** 10/18/2023
- **Last updated:** 12/28/2023