Provider Demographics
NPI:1063628139
Name:ARMSTRONG, GAIL B (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:B
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:BAGGOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3314 PLATT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-2204
Practice Address - Country:US
Practice Address - Phone:803-791-3494
Practice Address - Fax:803-739-9854
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily