Individual
MISTY G GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
(859) 514-5521
Mailing address
PO BOX 950112, DEPT # 52387, LOUISVILLE, KY 40295-0112
(877) 783-6257
(859) 514-5521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010142
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3010142
MEDICAL LICENSE
KY
Enumeration date
05/12/2016
Last updated
05/12/2016
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