NPI 1710486733 · live from the CMS NPI Registry
Corrie Suzanne Driggers Gossett, FNP
Nurse Practitioner, Family in Altus, OK. National Provider Identifier 1710486733, active.
NPI record
| NPI | 1710486733 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1200 E Pecan St, Altus, OK 73521 |
| Practice phone | 580-379-5690 |
| Mailing address | 1945 Clay Ln, Charleston, SC 29414 |
| Enumerated | February 5, 2018 |
| Last updated | August 22, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | 21292 (SC) |
| Registered Nurse, General Practice | 163WG0000X | 854265 (TX) |
| Nurse Practitioner, Family primary | 363LF0000X | 133970 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.