Provider Demographics
NPI:1669919353
Name:GOSIER, ENDIA NOEL (FNP)
Entity type:Individual
Prefix:MRS
First Name:ENDIA
Middle Name:NOEL
Last Name:GOSIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ENDIA
Other - Middle Name:NOEL
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:359 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31757-4834
Mailing Address - Country:US
Mailing Address - Phone:478-952-9146
Mailing Address - Fax:229-228-4708
Practice Address - Street 1:900 GORDON AVE
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-6613
Practice Address - Country:US
Practice Address - Phone:229-226-0125
Practice Address - Fax:229-226-0195
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN222688363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily