Individual
MRS. CORRIE SUZANNE DRIGGERS GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5690
Mailing address
1945 CLAY LN, CHARLESTON, SC 29414-6680
(205) 936-4387
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
854265
TX
363LF0000X
Family Nurse Practitioner
Primary
133970
OK
363LF0000X
Family Nurse Practitioner
21292
SC
Other
Enumeration date
02/05/2018
Last updated
08/22/2019
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