Individual
GABRIELLE DESCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1687 FIRETOWER RD, KILN, MS 39556-6385
(228) 229-7698
Mailing address
1687 FIRETOWER RD, KILN, MS 39556-6385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902652
MS
Other
Enumeration date
06/07/2018
Last updated
07/23/2026
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