Healthcare Provider Details

I. General information

NPI: 1023293818
Provider Name (Legal Business Name): CASI P GILMER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASI PARRISH GILMER NP

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 05/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ROBESON ST SUITE 203
FAYETTEVILLE NC
28305-5640
US

IV. Provider business mailing address

2301 ROBESON ST SUITE 203
FAYETTEVILLE NC
28305-5640
US

V. Phone/Fax

Practice location:
  • Phone: 910-615-3220
  • Fax: 910-486-2170
Mailing address:
  • Phone: 910-615-3220
  • Fax: 910-486-2170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0050-03863
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number183287
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: