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
Mailing address5456 Luella St, Jacksonville, FL 32207-5920

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