Organization
ELIZABETH JAN GILLESPIE CRNA
Active
Other names
elizabeth jan gillespie
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JAN GILLESPIE CRNA (CRNA)
(850) 995-6193
Entity
Organization
Contact information
Practice address
1717 N E ST, PENSACOLA, FL 32501-6339
(850) 434-4858
Mailing address
3090 COBBLESTONE DR, PACE, FL 32571-8425
(850) 995-6193
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
ARNP 9208292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300980 03
—
FL
01
—
430047793
RAIL ROAD
FL
01
—
89932-C
BLUE CROSS
FL
Enumeration date
01/18/2007
Last updated
07/22/2009
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