Provider Demographics
NPI:1568087443
Name:JONSWOLD, GABRIELLE ALDABBAGH (DO)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ALDABBAGH
Last Name:JONSWOLD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986155 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-6155
Mailing Address - Country:US
Mailing Address - Phone:402-836-9288
Mailing Address - Fax:
Practice Address - Street 1:986155 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-6155
Practice Address - Country:US
Practice Address - Phone:402-559-7775
Practice Address - Fax:402-559-8940
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program