Individual
DEBRA GAIL GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MSN, WHNP
Contact information
Practice address
4892 BRIARTON DR, SOUTHAVEN, MS 38672-9571
(901) 262-0332
Mailing address
4892 BRIARTON DR, SOUTHAVEN, MS 38672-9571
(901) 262-0332
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R866022
MS
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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