Emily V Gillespie, MSN, FNP
Individual provider Active NPI Family Nurse Practitioner · Loretto, TN
NPI 1174522007 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1174522007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN0000042138 (TN)
- Practice address
- 722 N. Military Ave.
Loretto, TN 38469 - Phone
- (931) 853-6970
- Fax
- (931) 853-6974
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000042138 | TN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN0000042138 | TN | Yes |
Addresses
Primary practice location
722 N. Military Ave.
Loretto, TN 38469
Mailing address
PO Box 10005
Attn Lee Pieroni
Florence, AL 35631-2005
Phone (931) 853-6970
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3902121 | Medicaid | TN | |
| Q006421 | Medicaid | TN |
Other providers in Loretto, TN
- Katisha Busby
- Crockett Hospital LLC
- Karen A Donovan
- Ecm Health Group LLC
- Ecm Health Group LLC
- Amanda Glass
- Rufus G Harmon
- Jeffrey H Hernandez
- Inner Roots Behavioral Health PLLC
- Chasy Lynn Jacobs
All providers in Loretto, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.