Individual
JENNIFER GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
606 MCDONALD DR APT G1, CLINTON, MS 39056-5303
(601) 874-7516
Mailing address
PO BOX 511, CLINTON, MS 39060-0511
(601) 248-1472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902739
MS
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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