Individual
BRANDI NICHOLE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4608 HIGHWAY 1, RACELAND, LA 70394-2623
(985) 537-2273
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD.201388
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08274835
—
MS
05
—
1506877
—
LA
Enumeration date
06/20/2007
Last updated
12/06/2010
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