Individual
KIMBERLY MICHELLE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1601 HWY 40 E, STE M, KINGSLAND, GA 31548
(912) 409-0744
Mailing address
3435 SECOND ST S, FOLKSTON, GA 31537-8447
(912) 496-0041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9301655
FL
363LF0000X
Family Nurse Practitioner
Primary
RN206390
GA
Other
Enumeration date
11/20/2017
Last updated
10/19/2018
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