Gamble, Jennifer

Gamble, Jennifer is an sole proprietor health care provider with primary practice located at 3411 Silverside Rd Ste 100 , Wilmington DE 19810-4811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gamble, Jennifer can be contacted via phone (302) 543-5454.

Contact Information

Primary practice address
3411 Silverside Rd Ste 100 Wilmington DE 19810-4811
Phone: (302) 543-5454
Fax: (302) 327-4200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C5-0011583 Delaware

Profile Details

NPI number 1144991480
LBN Legal business name Gamble, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2021
Last updated Apr 22nd, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144991480 NPPES
Delaware Other C5-0011583 STATE PROFESSIONAL LICENSE
Delaware Other DA-0024779 STATE PROFESSIONAL LICENSE

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