Individual provider · Type 1 NPI

Jill Renee Gomez, NREMT-B

Licensed Practical Nurse · Fort Rucker, AL

NPI number 1295161545 Active

Practice location

Bldg 301 Andrews Ave, Lyster Army Health Clinic
Fort Rucker, AL 36362-5333

Call (334) 255-7400 Map

Fax (334) 255-7368

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000XE3084504 (TX)
Licensed Practical Nurse Primary 164W00000X2-064909 (AL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1295161545

Jill Renee Gomez, NREMT-B's National Provider Identifier is 1295161545, issued on Sep 18, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Rucker, AL. The record was last updated on Oct 3, 2013.