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General NPI Number Information
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NPI Number | 1396762019
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Entity Type | Individual
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Provider Name | MARJORIE MAY GILLESPIE PH.D., PMHNP,M-CAP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 7800 W OAKLAND PARK BLVD STE 214
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City | SUNRISE
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State | FL
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Zip | 33351-1126
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Country | US
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Telephone | 954-431-7676
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Fax | 888-538-2226
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Provider Business Mailing Address
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Address Line | PO BOX 16472
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City | FT LAUDERDALE
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State | FL
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Zip | 33318-6472
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Country | US
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Telephone | 305-778-3157
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Fax | 888-538-2226
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2809552
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | ARNP2809552
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | ARNP2809552
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ARNP2809552
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2809552
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN2809552
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ARNP2809552
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP2809552
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP2809552
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License Number State | FL
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