Individual provider · Type 1 NPI
Jessica Gonzales
Family Nurse Practitioner · Travis Afb, CA
NPI number
1720624356
Active
Practice location
101 Bodin Cir
Travis Afb, CA 94535-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95026255 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720624356
Jessica Gonzales's National Provider Identifier is 1720624356, issued on Nov 19, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Travis Afb, CA. The record was last updated on Nov 28, 2023.