Individual
GABRIELLA ELIZABETH CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
128 RAYMOND HIRSCH PKWY, WHITE HOUSE, TN 37188-8193
(615) 672-3027
Mailing address
107 JUDITH CT, GOODLETTSVILLE, TN 37072-1337
(315) 391-7550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
6411
TN
Other
Enumeration date
12/17/2024
Last updated
05/15/2025
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