Provider Demographics
NPI:1831348234
Name:GILLESPIE, JOANIE LEIGH (CNS)
Entity type:Individual
Prefix:
First Name:JOANIE
Middle Name:LEIGH
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 COMMERCE CENTER DR
Mailing Address - Street 2:SUITE A-10
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2334
Mailing Address - Country:US
Mailing Address - Phone:702-454-6078
Mailing Address - Fax:702-454-4024
Practice Address - Street 1:2 COMMERCE CENTER DR
Practice Address - Street 2:SUITE A-10
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2334
Practice Address - Country:US
Practice Address - Phone:702-454-6078
Practice Address - Fax:702-454-4024
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education