Doctor Name: | MS. LINDA JOICE GILLESPIE |
NPI Number: | 1023021698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN,BC |
License Number: | 086383 |
Business Practice Address: | 3-3367 Kuhio Hwy Suite 200 Lihue, HI - 967661061 |
Business Phone Number: | 8082460497 |
Business Fax Number: | 8082469349 |
Mailing Address: | 15230 County Road 614, DEXTER |
State: | MO |
Postal Code: | 638418907 |
Phone Number: | 5734215620 |
Fax Number: | 8082469349 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 086383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |