Individual provider · Type 1 NPI

Mailea Gabriella Gomez, PA-C

Physician Assistant · Fort Campbell, KY

NPI number 1720986987 Active

Practice location

5979 Desert Storm Ave
Fort Campbell, KY 42223-5514

Call (270) 798-4677 Map

Mailing address

104 Greenland Ct
Clarksville, TN 37042-3419

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720986987

Mailea Gabriella Gomez, PA-C's National Provider Identifier is 1720986987, issued on Oct 28, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Campbell, KY. The record was last updated on Oct 28, 2026.