Provider Demographics
NPI:1023293818
Name:GILMER, CASI P (FNP)
Entity type:Individual
Prefix:MRS
First Name:CASI
Middle Name:P
Last Name:GILMER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CASI
Other - Middle Name:PARRISH
Other - Last Name:GILMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2301 ROBESON ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5640
Mailing Address - Country:US
Mailing Address - Phone:910-615-3220
Mailing Address - Fax:910-486-2170
Practice Address - Street 1:2301 ROBESON ST
Practice Address - Street 2:SUITE 203
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5640
Practice Address - Country:US
Practice Address - Phone:910-615-3220
Practice Address - Fax:910-486-2170
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-03863363LF0000X
NC183287363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily