Individual
MS. DANA FAITH GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3495 COBBLESTONE BLVD S, SOUTHAVEN, MS 38672-7075
(662) 892-2885
(662) 890-1551
Mailing address
3495 COBBLESTONE BLVD S, SOUTHAVEN, MS 38672-7075
(662) 892-2885
(662) 890-1551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904260
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
904260
MS BOARD OF NURSING LICENSE
MS
Enumeration date
08/18/2022
Last updated
08/18/2022
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