Individual
KRISTEN SILLS GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
870 AUSTIN DR STE E, DEMOREST, GA 30535-4584
(706) 286-8832
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F07180059
GA
363LF0000X
Family Nurse Practitioner
Primary
RN216690
GA
Other
Enumeration date
01/07/2019
Last updated
06/14/2023
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