Provider Demographics
NPI:1205580198
Name:GILLESPIE, ERICA LEANNE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LEANNE
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:LEANNE
Other - Last Name:CREASY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2329 SUNBURST RD
Mailing Address - Street 2:
Mailing Address - City:EVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24550-3517
Mailing Address - Country:US
Mailing Address - Phone:434-525-4419
Mailing Address - Fax:
Practice Address - Street 1:16890 FOREST RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-4059
Practice Address - Country:US
Practice Address - Phone:434-200-7210
Practice Address - Fax:434-525-2138
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183519363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care