Individual
ANGELA CLARK GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
256 HIGHWAY 3048, RAYVILLE, LA 71269-3624
(318) 728-2046
(318) 728-9371
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06862
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314416
—
LA
Enumeration date
06/27/2012
Last updated
04/29/2026
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