Samantha Ethalee Gates, APRN, FNP-BC is a family nurse practitioner in Jacksonville, FL. Samantha Ethalee Gates, APRN, FNP-BC NPI is 1134788383. 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:
10739 DEERWOOD PARK BLVD STE 200
JACKSONVILLE, FL
ZIP 32256-839
Phone: (800) 793-7050
Fax: (866) 509-6155
The NPI 1134788383 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 6/11/2019 and was last updated on 6/11/2019.