Individual
GAYLE P HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
(214) 978-6901
Mailing address
PO BOX 3287, JACKSON, MS 39207-3287
(601) 984-1000
(214) 978-6901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R853374
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05428067
—
MS
Enumeration date
10/18/2006
Last updated
07/08/2007
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