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Contact Information

CHRISTOPHER GULLY, NP
363 SOUTHCREST CIR STE 202
SOUTHAVEN, MS38671-4737
 Phone: 901-226-0456
 Fax: 901-226-0458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHRISTOPHER GULLY · (Male)

NPI # 1013778596
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/22/2024
Last updated 06/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # 906487
  • TN License # 3555
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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