Individual
JILL RENEE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3290 DAUPHIN ST STE 301, MOBILE, AL 36606-4052
(251) 660-5930
(251) 660-5931
Mailing address
PO BOX 21595, BELFAST, ME 04915-4112
(251) 243-4577
(251) 405-9900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1109295
AL
363LF0000X
Family Nurse Practitioner
Primary
1-109295
AL
363LF0000X
Family Nurse Practitioner
APRN11034579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123568200
—
FL
Enumeration date
10/19/2020
Last updated
06/17/2026
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