Gore, Michelle

Gore, Michelle is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Administrator, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Pediatrics, Nursing Service Providers / Ambulatory Care. Nursing Service Providers / Medical-Surgical is her primary health care specialty. Gore, Michelle can be contacted via phone (912) 435-6202.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 729857 Texas
Nursing Service Providers / Administrator 163WA2000X 729857 Texas
Nursing Service Providers / Medical-Surgical 163WM0705X 729857 Texas
Nursing Service Providers / Pediatrics 163WP0200X 729857 Texas
Nursing Service Providers / Ambulatory Care 163WP2201X 729857 Texas

Profile Details

NPI number 1972903441
LBN Legal business name Gore, Michelle
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2014
Last updated Sep 3rd, 2014 - about 10 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 1972903441 NPPES
Texas Other 729857 TEXAS BOARD OF NURSING

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