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NPI Code Detail

MEDICARE: SUSAN A GILBERT N.P.

MEDICARE: SUSAN A GILBERT N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR868795MS
2363L00000XNurse PractitionerAPN6104TN

General Provider Information

NPI Number : 1891981478
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN A GILBERT N.P.
Provider Business Mailing Address
First Line : 8000 CENTERVIEW PKWY
Second Line : STE 100
City : CORDOVA
State : TN
Zip : 38018-4289
Country : US
Telephone Number : 901-751-4112
Fax Number : 901-751-9878
Provider Business Practice Location Address
First Line : 8000 CENTERVIEW PKWY
Second Line : STE 100
City : CORDOVA
State : TN
Zip : 38018-4289
Country : US
Telephone Number : 901-751-4112
Fax Number : 901-751-9878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2007
Last Update Date : 05/01/2022

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Directions to “ SUSAN A GILBERT N.P.” Practice Location

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