GRACE PULLIAM GILMORE


Address: 29 Malvern Ave Apt 5, Richmond, VA 23221-2666
Phone: 5402292268

GRACE PULLIAM GILMORE (NPI# 1578176970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578176970
Entity Type Individual
Full Name GRACE PULLIAM GILMORE
Credential FNP-BC
Practice Address 29 Malvern Ave Apt 5
Richmond
VA 23221-2666
Practice Telephone 5402292268
Mailing Telephone 5402292268
Enumeration Date 2020-08-25
Last Update Date 2020-08-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024179801 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 29 MALVERN AVE APT 5
City RICHMOND
State VA
Zip Code 23221-2666

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City RICHMOND
Zip Code 23221

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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