Individual
MISS DOMINIQUE SIERRA GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, WHNP-BC
Contact information
Practice address
6401 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-1427
(954) 776-8500
Mailing address
331 N STATE ROAD 7 APT 7302, PLANTATION, FL 33317-2890
(205) 246-1833
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1-165020
AL
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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