Jackline Wanga Gates
Family Nurse Practitioner · Fayetteville, GA
Practice location
1275 Highway 54 W Ste 201Fayetteville, GA 30214-4538
- Phone
- (770) 461-3776
- Fax
- (770) 461-3565
NPI record
- NPI
- 1801432216
- Entity type
- Individual (Type 1)
- Enumeration date
- November 20, 2019
- Last updated
- October 28, 2025
- Certified
- October 28, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X |
APRN-NP313932 | GA |
| Nurse Practitioner | 363L00000X |
RN313932 | GA |
About Jackline Gates
Jackline Wanga Gates is a healthcare provider registered in the NPI registry with the primary taxonomy Family Nurse Practitioner (code 363LF0000X). The practice location is 1275 Highway 54 W Ste 201, Fayetteville, GA 30214-4538. The NPI number 1801432216 was assigned on November 20, 2019 and the record was last updated on October 28, 2025.
Jackline Gates lists 2 licenses in the registry: #APRN-NP313932 (GA) for Family Nurse Practitioner; #RN313932 (GA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jackline Wanga Gates?
The NPI number is 1801432216.
What is the phone number of Jackline Gates?
The phone number listed for the practice location is (770) 461-3776.
Where is Jackline Gates located?
1275 Highway 54 W Ste 201, Fayetteville, GA 30214-4538.
What is the taxonomy code for Jackline Gates?
The primary taxonomy code is 363LF0000X – Family Nurse Practitioner; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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