Individual
JAMIE GATEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5333 N 7TH ST STE C223, PHOENIX, AZ 85014-2823
(623) 252-5729
Mailing address
PO BOX 5940, PHOENIX, AZ 85010-5940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNP291321
AZ
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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