JILL RENEE GOMEZ NREMT-B NPI 1295161545

NPI Information

NPI: 1295161545
Provider Name: JILL RENEE GOMEZ, NREMT-B
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
BLDG 301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7400
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Jill Renee Gomez, NREMT-B is a licensed practical nurse in Fort Rucker, AL. The provider is a licensed practical nurse 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. Jill Renee Gomez, NREMT-B NPI is 1295161545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

BLDG 301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362-333
Phone: (334) 255-7400
Fax: (334) 255-7368

The enumeration date for this NPI number is 9/18/2013 and was last updated on 10/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146N00000X	Emergency Medical Technician, Basic		E3084504	TEXAS	No
2	164W00000X	Licensed Practical Nurse		2-064909	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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