Individual
PATINA R GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
263 MCLAWS CIR STE 105, WILLIAMSBURG, VA 23185-5674
(757) 941-5600
Mailing address
PO BOX 639295 DEPT 93303, CINCINNATI, OH 45263-9295
(757) 941-5600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0017144717
VA
363L00000X
Nurse Practitioner
Primary
0024175902
VA
363L00000X
Nurse Practitioner
5007162
NC
Other
Enumeration date
07/27/2012
Last updated
01/24/2025
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