Gillcoat, Charlsie Ferguson

Gillcoat, Charlsie Ferguson is an individual health care provider with primary practice located at 505 N 6Th St , Longview TX 75601-6604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gillcoat, Charlsie Ferguson can be contacted via phone (903) 501-5056.

Contact Information

Primary practice address
505 N 6Th St Longview TX 75601-6604
Phone: (903) 501-5056
Fax: (903) 499-5056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP116578 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP116578 Texas

Profile Details

NPI number 1629246574
LBN Legal business name Gillcoat, Charlsie Ferguson
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2008
Last updated Feb 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629246574 NPPES
Texas MEDICAID 193683302

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