Individual
GRACE PULLIAM GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
29 MALVERN AVE APT 5, RICHMOND, VA 23221-2666
(540) 229-2268
Mailing address
29 MALVERN AVE APT 5, RICHMOND, VA 23221-2666
(540) 229-2268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179801
VA
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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