# DAWN GILLMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710236989
- **Gender:** F
- **Credential:** ANP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 1060745 | KY | — |
| 363LA2200X | Adult Health Nurse Practitioner | 28112401A | IN | Yes |

## Other

- **Enumeration date:** 09/04/2012
- **Last updated:** 12/02/2020
