The903np
NPI #1669299889 in Longview, Texas
Provider Information
- NPI Number
- 1669299889
- Entity Type
- Organization
- Organization Name
- The903np
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Sep 20, 2024
- Last Updated
- Nov 23, 2025
Practice Location
Authorized Official
- Name
- CHARLSIE FERGUSON GILLCOAT, APRN-BC
- Title
- CEO / NURSE PRACTITIONER
- Phone
- (903) 903-0903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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