Individual
STORMIE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3310 E CENTRAL TEXAS EXPY STE 201, KILLEEN, TX 76543-5308
(855) 876-7246
(855) 277-5070
Mailing address
PO BOX 208361, DALLAS, TX 75320-8361
(512) 485-7208
(844) 364-8678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP144597
TX
363LF0000X
Family Nurse Practitioner
AP144597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2P3514
TEXAS MEDICARE
TX
01
—
2P3515
TEXAS MEDICARE
TX
01
—
AP144597
TEXAS NURSING LICENSE
TX
Enumeration date
01/23/2020
Last updated
03/08/2023
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