Individual
MRS. TAMMY CLINE GILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
108 6TH AVE BLDG B, KINDER, LA 70648-3187
(337) 738-9494
(337) 738-9449
Mailing address
108 6TH AVE BLDG B, KINDER, LA 70648-3187
(337) 738-9494
(337) 738-9494
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN054185-AP03062
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1547344
—
LA
Enumeration date
07/19/2005
Last updated
12/05/2024
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