Individual
JENNY R GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN,NP-C
Contact information
Practice address
1511 RICHLAND ST, COLUMBIA, SC 29201-2609
(803) 563-7571
Mailing address
1511 RICHLAND ST, COLUMBIA, SC 29201-2609
(806) 640-4196
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
30752
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
737232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316355720
—
TX
Enumeration date
07/29/2014
Last updated
04/17/2026
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