Provider Demographics
NPI:1679027577
Name:GATMEN, JEAN PAULETTE ALARCON
Entity type:Individual
Prefix:
First Name:JEAN PAULETTE
Middle Name:ALARCON
Last Name:GATMEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 JEFFERSON BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-3343
Mailing Address - Country:US
Mailing Address - Phone:916-371-3787
Mailing Address - Fax:916-371-3790
Practice Address - Street 1:1035 JEFFERSON BLVD STE 1
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-3343
Practice Address - Country:US
Practice Address - Phone:916-371-3787
Practice Address - Fax:916-371-3790
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95004470363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily