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MRS. JACQUELINE A GOMOGDA RNC WHNPARNP NPI 1770551632


NPI Information

NPI: 1770551632
Provider Name: MRS. JACQUELINE A GOMOGDA, RNC, WHNP,ARNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
12271 US HIGHWAY 301 N
PARRISH, FL
ZIP 34219
Phone: (941) 776-4050
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MRS. Jacqueline A Gomogda, RNC, WHNP,ARNP is a women's health nurse practitioner in Parrish, FL. MRS. Jacqueline A Gomogda, RNC, WHNP,ARNP NPI is 1770551632. 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:

12271 US HIGHWAY 301 N
PARRISH, FL
ZIP 34219-410
Phone: (941) 776-4050
Fax: (941) 776-4057

The NPI 1770551632 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 3/24/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's Health2698092FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.