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Latasha Nicole Gilliard, FNP-BC
Family Nurse Practitioner in Nicholls, Georgia
NPI 1831568724

Latasha Nicole Gilliard is a Family Nurse Practitioner based in Nicholls, GA and is specialized in Family. Latasha Nicole Gilliard practices in Nicholls, GA and has the professional credentials of FNP-BC. The NPI Number for Latasha Nicole Gilliard is 1831568724 and holds a License No. NCO-000003 (Georgia).

The current practice location address for Latasha Nicole Gilliard is 7171 Nails Rd, Nicholls, GA and can be reached out via phone at 912-381-4675.

Location: 7171 Nails Rd, Nicholls, GA, 31554-4613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831568724
Provider Name
Latasha Nicole Gilliard
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
7171 Nails Rd, Nicholls, GA, 31554-4613
Phone Number
912-381-4675
Fax Number
Provider Enumeration Date
09/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7171 Nails Rd
City
Nicholls
State
Georgia
Zip
31554-4613
Phone Number
912-381-4675
Fax Number
person
Provider Business Mailing Address Details
Address
7171 Nails Rd
City
Nicholls
State
Georgia
Zip
31554-4613
Phone Number
912-381-4675
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NCO-000003 (Georgia)
Definition
Definition to come...
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