Individual
JENNIFER GOMEZ YAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1790
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1790
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
943746
TX
363LF0000X
Family Nurse Practitioner
Primary
1223589
TX
Other
Enumeration date
05/22/2020
Last updated
01/13/2026
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