Individual
HEATHER MARIE GALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC, MSN
Contact information
Practice address
2310 VILLAGE SQUARE PKWY STE 201, FLEMING ISLAND, FL 32003-6409
(904) 264-6404
(904) 390-7455
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9422503
FL
363LF0000X
Family Nurse Practitioner
APRN9422503
FL
Other
Enumeration date
12/08/2010
Last updated
09/20/2023
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