Individual provider · Type 1 NPI
Christopher Gully, NP
Gerontology Nurse Practitioner · Southaven, MS
NPI number
1013778596
Active
Practice location
363 Southcrest Cir Ste 202
Southaven, MS 38671-4737
Fax (901) 226-0458
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3555 (TN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 906487 (MS) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
Other gerontology nurse practitioner providers in Southaven
About NPI 1013778596
Christopher Gully, NP's National Provider Identifier is 1013778596, issued on Jan 22, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Southaven, MS. The record was last updated on Jun 24, 2024.