Gillespie, Susan Renee

Gillespie, Susan Renee is an individual health care provider with primary practice located at 419 Racetrack Rd Nw , Fort Walton Beach FL 32547-4612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gillespie, Susan Renee can be contacted via phone (850) 862-1069.

Contact Information

Primary practice address
419 Racetrack Rd Nw Fort Walton Beach FL 32547-4612
Phone: (850) 862-1069
Fax: (850) 862-5019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9178880 Florida

Profile Details

NPI number 1578858452
LBN Legal business name Gillespie, Susan Renee
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2011
Last updated Jun 18th, 2011 - about 15 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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