Individual
MRS. JENNIFER H GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7390 N LA CHOLLA BLVD, TUCSON, AZ 85741-2305
(520) 825-3547
(520) 825-3652
Mailing address
5055 E BROADWAY BLVD, A-100, TUCSON, AZ 85711-3640
(520) 327-0460
(520) 795-0225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5420
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894851
—
AZ
Enumeration date
02/03/2014
Last updated
06/20/2014
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