Individual
TREVA GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
532 MAIN ST STE A, PHILADELPHIA, MS 39350-2562
(601) 781-8677
(601) 676-0550
Mailing address
118 HUBER ST, MADISON, MS 39110-6983
(601) 940-8132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905129
MS
Other
Enumeration date
04/28/2022
Last updated
07/13/2022
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