Individual
MRS. HEATHER GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
17540 E MAIN ST, LOUISVILLE, MS 39339-2772
(662) 773-3503
(662) 773-6457
Mailing address
PO BOX 470, LOUISVILLE, MS 39339-0470
(662) 773-3503
(662) 773-6457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R863982
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09225800
—
MS
Enumeration date
10/23/2008
Last updated
01/07/2021
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