Individual provider · Type 1 NPI
Susan Marie Gillispie, FNP
Primary Care Nurse Practitioner · Theodore, AL
NPI number
1134512072
Active
Practice location
7272 Theodore Dawes Rd Ste B
Theodore, AL 36582-4136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 201240084RN (OR) |
| Nurse Practitioner | 363L00000X | 1-179889 (AL) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 201501505NP-PP (OR) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1134512072
Susan Marie Gillispie, FNP's National Provider Identifier is 1134512072, issued on Mar 17, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Theodore, AL. The record was last updated on Aug 17, 2026.