Individual
MS. DONNA JEAN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-3413
Mailing address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-3413
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
152516
MO
Other
Enumeration date
01/07/2011
Last updated
04/29/2011
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