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Jackline Wanga Gates
Nurse Practitioner in Lake Elsinore, California
NPI 1801432216

Jackline Wanga Gates is a Nurse Practitioner based in Vista, CA. Jackline Wanga Gates practices in Lake Elsinore, CA. The NPI Number for Jackline Wanga Gates is 1801432216 and holds a License No. 95013168 (California).

The current practice location address for Jackline Wanga Gates is 30195 Fraser Dr, Lake Elsinore, CA and can be reached out via phone at 951-252-2720.

Location: 30195 Fraser Dr, Lake Elsinore, CA, 92084-5218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801432216
Provider Name
Jackline Wanga Gates
Credential
Provider Entity Type
Individual
Gender
Female
Address
30195 Fraser Dr, Lake Elsinore, CA, 92084-5218
Phone Number
951-252-2720
Fax Number
Provider Enumeration Date
11/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30195 Fraser Dr
City
Lake Elsinore
State
California
Zip
92530-7006
Phone Number
951-252-2720
Fax Number
person
Provider Business Mailing Address Details
Address
30195 Fraser Dr
City
Lake Elsinore
State
California
Zip
92530-7006
Phone Number
951-252-2720
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95013168 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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