Doctor Name: | MRS. REBECCA L GILMER |
NPI Number: | 1225302391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | APN0000016479 |
Business Practice Address: | 229 Interstate Dr Suite 103 Crossville, TN - 385552709 |
Business Phone Number: | 9312105577 |
Business Fax Number: | 9312105575 |
Mailing Address: | 229 Interstate Dr, Suite 103 CROSSVILLE |
State: | TN |
Postal Code: | 385552709 |
Phone Number: | 9312105577 |
Fax Number: | 9312105575 |
NPI Enumeration Date: | 03/06/2012 |
NPI Last Update Date: | 06/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000016479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |