Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKLINE WANGA GATES
ActiveJACKLINE WANGA GATES is a Family Nurse Practitioner healthcare provider located in FAYETTEVILLE, Georgia. NPI 1801432216 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1801432216
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2019 (6.7297621980249 yrs)
- Last Updated
- Oct 28, 2025
- Licenses
-
RN313932 (GA)APRN-NP313932 (GA)
Practice Information
- Address
-
1275 HIGHWAY 54 W STE 201FAYETTEVILLE, GA, 302144538Browse GA providers · Browse ZIP 30214
- Phone
- 7704613776
- Fax
- 7704613565
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MS. DEBBIE S. DAVIS | MSN | 1831177104 |
| JORETTA A BUCKNER | NP | 1851316665 |
| TANGELLA E RUSSELL | CNP | 1275637639 |
| JENNIFER GOODSON | NP | 1104912054 |
| PATRICIA ANN EDWARDS | FNP-C | 1992888945 |
| MS. CLAVEL A GITTENS | FNP-BC | 1396813986 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.