| Doctor Name: | MRS. JACQUELINE L GABBARD |
| NPI Number: | 1033406616 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 71003634B |
| Business Practice Address: | 2755 N Michigan Ave Greensburg, IN - 472409341 |
| Business Phone Number: | 8122226000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 516, DUBLIN |
| State: | IN |
| Postal Code: | 473350516 |
| Phone Number: | 7652380230 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2011 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71003634B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |