Provider Demographics
NPI:1649216722
Name:TEMPLE, GAIL (APRN, WHNP)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:
Last Name:TEMPLE
Suffix:
Gender:F
Credentials:APRN, WHNP
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:GAIL
Other - Last Name:TEMPLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, WHNP
Mailing Address - Street 1:9 CARDINAL LN
Mailing Address - Street 2:
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-3718
Mailing Address - Country:US
Mailing Address - Phone:843-987-9154
Mailing Address - Fax:
Practice Address - Street 1:601 WILMINGTON ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-4956
Practice Address - Country:US
Practice Address - Phone:843-525-7615
Practice Address - Fax:843-770-2075
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC969363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health