MEDICARE: FLOLESHIA GATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1500X	Community Health Registered Nurse	570663	NY
2	363LF0000X	Family Nurse Practitioner	5022372	NC

General Provider Information

NPI Number	:	1922255512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLOLESHIA GATES

Provider Business Mailing Address
First Line	:	1500 1ST AVE N UNIT 3
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35203-1866
Country	:	US
Telephone Number	:	205-545-5088
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 S MAIN ST STE A
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-5011
Country	:	US
Telephone Number	:	919-229-4833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	08/01/2025

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Directions to “ FLOLESHIA GATES ” Practice Location

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