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Georgia A Gremillion, FNP
Family Nurse Practitioner in Cape Girardeau, Missouri
NPI 1487655791

Georgia A Gremillion is a Family Nurse Practitioner based in Cape Girardeau, MO and is specialized in Family. Georgia A Gremillion practices in Cape Girardeau, MO and has the professional credentials of FNP. The NPI Number for Georgia A Gremillion is 1487655791 and holds a License No. 2001028811 (Missouri).

The current practice location address for Georgia A Gremillion is 408 S Broadview St, Cape Girardeau, MO and can be reached out via phone at 573-332-0808 and via fax at 573-339-7945.

Location: 408 S Broadview St, Cape Girardeau, MO, 63703-5725
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Provider Profile Details
NPI Number
1487655791
Provider Name
Georgia A Gremillion
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
408 S Broadview St, Cape Girardeau, MO, 63703-5725
Phone Number
573-332-0808
Fax Number
573-339-7945
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00609537 01 MO RAILROAD MEDICARE
429097215 05 MO
institution
Provider Business Practice Location Address Details
Address
408 S Broadview St
City
State
Zip
63703-5725
Phone Number
573-332-0808
Fax Number
573-339-7945
person
Provider Business Mailing Address Details
Address
408 S Broadview St
City
State
Zip
63703-5725
Phone Number
573-332-0808
Fax Number
573-339-7945
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2001028811 (Missouri)
Definition
Definition to come...
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