Individual
MS. JACQUELINE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-9171
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
15754
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15754
CA
Other
Enumeration date
10/11/2006
Last updated
02/28/2023
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