Individual
MRS. SHANNON KATHRYN GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4013 BEATLINE RD STE A, LONG BEACH, MS 39560-4135
(228) 200-0720
Mailing address
116 S SEASHORE AVE, LONG BEACH, MS 39560-5707
(228) 365-1124
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903276
MS
Other
Enumeration date
03/22/2006
Last updated
06/13/2019
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