Individual
DOROTHY D GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
415 SOUTH 28TH AVENUE, HATTIESBURG, MS 39401
(601) 579-5430
(601) 268-5819
Mailing address
415 SOUTH 28TH AVENUE, HATTIESBURG, MS 39401
(601) 579-5430
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R638412
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07822378
—
MS
01
—
2879805
UNITED HEALTHCARE
MS
01
—
4875174
CIGNA
MS
01
—
9914083
AETNA
MS
Enumeration date
02/20/2007
Last updated
06/29/2023
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