Gamble, Jessica Leanne
Gamble, Jessica Leanne is an individual health care provider with primary practice located at 204 Medical Dr Ste 140 , Sherman TX 75092-6372. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gamble, Jessica Leanne can be contacted via phone (903) 957-0470.Contact Information
Primary practice address
204 Medical Dr Ste 140
Sherman TX 75092-6372
Phone: (903) 957-0470
Fax: (903) 957-0369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA05463 | Texas |
Profile Details
| NPI number | 1760667711 |
|---|---|
| LBN Legal business name | Gamble, Jessica Leanne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2008 |
| Last updated | Dec 8th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760667711 | NPPES |
| Texas | Other | PA05463 | LICENSE |
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