Individual
GINGER GILLETTE-KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 562-7100
Mailing address
75 PARK STREET, ELIZABETHTOWN, NY 12932
(518) 873-6377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0109301
NY
363L00000X
Nurse Practitioner
101.0109301
VT
363L00000X
Nurse Practitioner
Primary
311197
NY
363LA2200X
Adult Health Nurse Practitioner
101.0109301
VT
363LA2200X
Adult Health Nurse Practitioner
311197
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07609516
—
NY
05
—
1024610
—
VT
05
—
202204
—
AZ
01
—
P00623756
RAILROAD MEDICARE
AZ
Enumeration date
01/08/2007
Last updated
01/28/2026
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