Individual
MRS. TARYN BENSON GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9800 S HEALTHPARK DR STE 205, FORT MYERS, FL 33908-3630
(239) 343-7130
(239) 343-7185
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7130
(239) 343-7185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9307733
FL
367A00000X
Advanced Practice Midwife
Primary
APRN9307733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115776000
—
FL
Enumeration date
01/29/2016
Last updated
12/12/2024
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