Individual
JESSICA H GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 233-5110
(928) 774-4808
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 213-6100
(928) 774-6687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2537
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418354
—
AZ
Enumeration date
01/22/2007
Last updated
10/21/2013
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