Healthcare Provider Details

I. General information

NPI: 1073444139
Provider Name (Legal Business Name): GABRIELLA NICOLE SALISBURY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 RIVER PARK DR
SACRAMENTO CA
95815-4500
US

IV. Provider business mailing address

1495 RIVER PARK DR
SACRAMENTO CA
95815-4500
US

V. Phone/Fax

Practice location:
  • Phone: 916-925-7020
  • Fax:
Mailing address:
  • Phone: 916-925-7020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95040219
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95249476
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: