Gomez, Jacqueline

Gomez, Jacqueline is an individual health care provider with primary practice located at 4485 S I 19 Frontage Rd Ste 100 , Green Valley AZ 85614-5884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gomez, Jacqueline can be contacted via phone (520) 399-6000.

Contact Information

Primary practice address
4485 S I 19 Frontage Rd Ste 100 Green Valley AZ 85614-5884
Fax: (520) 399-6002
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP5451 Arizona

Profile Details

NPI number 1245655711
LBN Legal business name Gomez, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2014
Last updated Jul 1st, 2021 - about 3 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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