Provider Demographics
NPI:1073906236
Name:ARMSTRONG, GAIL WILKES (RN)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:WILKES
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:GAIL
Other - Last Name:WILKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:93 HUMAN SERVICES RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:SC
Mailing Address - Zip Code:29325-7546
Mailing Address - Country:US
Mailing Address - Phone:864-833-0000
Mailing Address - Fax:
Practice Address - Street 1:93 HUMAN SERVICES RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7546
Practice Address - Country:US
Practice Address - Phone:864-833-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC109718163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse