Individual
JENNIFER A GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 N PARKSIDE ST # A, BLYTHEVILLE, AR 72315-2222
(870) 636-2795
Mailing address
902 N PARKSIDE ST # A, BLYTHEVILLE, AR 72315-2222
(870) 636-2795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R086566
AR
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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