Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwen Gamboa

Individual provider Nurse Practitioner · NPI 1104225721

Gwen Gamboa is a Nurse Practitioner in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

5456 Luella St
Jacksonville, FL 32207-5920
Phone: (904) 866-2937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9255006 (FL)

Record details

NPI number1104225721
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 19, 2014
Last updated in NPPESAugust 19, 2014

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