Individual
CONNIE J GAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 484-2762
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 484-2762
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902912
MS
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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