Individual
DANIELLE NICOLE GASPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
450 GEORGIA AVE STE A, STATESBORO, GA 30458-5590
(912) 489-3325
Mailing address
450 GEORGIA AVE STE A, STATESBORO, GA 30458-5590
(912) 489-3325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN272326
GA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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