Individual
ROY RICHARD GILDERSLEEVE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, RN, PMHNP-BC
Contact information
Practice address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
Mailing address
65 MESSIMER DR, NEWARK, OH 43055-1874
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD7820
OH
163W00000X
Registered Nurse
RN.531219
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0039922
OH
Other
Enumeration date
11/02/2015
Last updated
08/20/2025
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