Gamble, Derek Paul
Gamble, Derek Paul is an sole proprietor health care provider with primary practice located at Kenner Army Health Clinic, Building 8130 700 24Th Street, Fort Gregg-Adams VA 23801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gamble, Derek Paul can be contacted via phone (804) 734-9145.Contact Information
Primary practice address
Kenner Army Health Clinic, Building 8130 700 24Th Street
Fort Gregg-Adams VA 23801
Phone: (804) 734-9145
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 27944 | Tennessee |
Profile Details
NPI number | 1972109247 |
---|---|
LBN Legal business name | Gamble, Derek Paul |
Credentials | DNP, PMHNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 10th, 2020 |
Last updated | Jul 24th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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