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Individual

KATIE N GAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
621 E MATTHEWS AVE, JONESBORO, AR 72401
(870) 932-6799
Mailing address
621 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-6799
(870) 932-8423

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005779
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/03/2018
Last updated
09/26/2022
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