Individual
ASHLEY CARPENTER GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
961 S GLOSTER ST, TUPELO, MS 38801-6343
(662) 844-9166
(662) 844-0170
Mailing address
961 S GLOSTER ST, TUPELO, MS 38801-6343
(662) 844-9166
(662) 844-0170
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R895264
MS
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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