| Doctor Name: | MRS. JANICE RUTH GATES |
| NPI Number: | 1114949260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 169787 |
| Business Practice Address: | 104 Old Confederate Dr De Queen, AR - 718328426 |
| Business Phone Number: | 8706422535 |
| Business Fax Number: | 8706425229 |
| Mailing Address: | 104 Old Confederate Dr, DE QUEEN |
| State: | AR |
| Postal Code: | 718328426 |
| Phone Number: | 8706422535 |
| Fax Number: | 8706425229 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | 169787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |