Doctor Name: | JENNIFER HORTON GILREATH |
NPI Number: | 1235570599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 84316 |
Business Practice Address: | 219 Piedmont Hwy Piedmont, SC - 296738541 |
Business Phone Number: | 8643169402 |
Business Fax Number: | |
Mailing Address: | 219 Piedmont Hwy, PIEDMONT |
State: | SC |
Postal Code: | 296738541 |
Phone Number: | 8643169402 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2013 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 84316 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |