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Individual
SUSAN MARIE GILLISPIE
Active
Individual
SUSAN MARIE GILLISPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-179889
AL
363L00000X
Nurse Practitioner
201240084RN
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
201501505NP-PP
OR
Other
Enumeration date
03/17/2015
Last updated
08/17/2026
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