Individual
MS. JENNIFER LEIGH GALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9471 THREE RIVERS RD STE D, GULFPORT, MS 39503-4230
(228) 248-0058
(228) 248-0129
Mailing address
250 BEAUVOIR RD STE 4B, BILOXI, MS 39531-4026
(228) 388-9848
(228) 388-4157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R864186
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
864186
MS
Other
Enumeration date
05/12/2009
Last updated
04/12/2021
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