Individual
GILLIAN L QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5153 N 9TH AVE, STE 404, PENSACOLA, FL 32504-8785
(850) 416-4970
(850) 416-4969
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 416-4970
(850) 416-4969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9321833
FL
Other
Enumeration date
05/18/2011
Last updated
10/22/2013
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