Individual
JENNIFER GAMACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4669
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4669
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9420
NE
363LA2100X
Acute Care Nurse Practitioner
71003075A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000976655
ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
—
05
—
0114868
—
OH
05
—
201048050
—
IN
Enumeration date
10/09/2009
Last updated
07/03/2024
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