Individual provider · Type 1 NPI
Jackline Wanga Gates
Family Nurse Practitioner · Fayetteville, GA
NPI number
1801432216
Active
Practice location
1275 Highway 54 W Ste 201
Fayetteville, GA 30214-4538
Fax (770) 461-3565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN313932 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN-NP313932 (GA) |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- CRHGeneral Practice Physician Fayetteville, GA NPI 1366181208
- Andrew PeoplesFamily Nurse Practitioner Fayetteville, GA NPI 1699541730
- Cynthia M. Smith, PA-CMedical Physician Assistant Fayetteville, GA NPI 1033179700
- Jessica Katherine Vernon, PA-CMedical Physician Assistant Fayetteville, GA NPI 1104597210
- Tayla Banks, PA-CPhysician Assistant Fayetteville, GA NPI 1407501422
Other family nurse practitioner providers in Fayetteville
- Brittney Shay Pasko, FNP-CFamily Nurse Practitioner Fayetteville, GA NPI 1003429531
- Angela Miller, FNPFamily Nurse Practitioner Fayetteville, GA NPI 1013338672
- Joshua Nathan Mixon, FNP-CFamily Nurse Practitioner Fayetteville, GA NPI 1023913753
- Caitlin J. Vu, APRN, DNP, FNP-BCFamily Nurse Practitioner Fayetteville, GA NPI 1033778568
- Rashieda TimpsonFamily Nurse Practitioner Fayetteville, GA NPI 1053859140
- Hannah Katharine Shell, NP-CFamily Nurse Practitioner Fayetteville, GA NPI 1083024095
- Jennifer Goodson, NPFamily Nurse Practitioner Fayetteville, GA NPI 1104912054
- Patricia Natalie DillonFamily Nurse Practitioner Fayetteville, GA NPI 1114685773
About NPI 1801432216
Jackline Wanga Gates's National Provider Identifier is 1801432216, issued on Nov 20, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, GA. The record was last updated on Oct 28, 2025.