Individual
MRS. JACQUELINE GONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1601 CENTER ST, STE 1S, MOBILE, AL 36604-1512
(251) 410-5437
(251) 434-5037
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 410-5437
(251) 434-5037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-060357
AL
Other
Enumeration date
03/19/2007
Last updated
02/22/2017
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