Individual
CRISTY S GREMILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
43672 HIGHWAY 16, PINE GROVE, LA 70453-2102
(225) 362-8287
Mailing address
43672 HIGHWAY 16, PINE GROVE, LA 70453-2102
(225) 362-8287
(225) 362-8287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
245170
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN100051
LA
Other
Enumeration date
08/19/2025
Last updated
03/22/2026
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