Individual
ASHLEY ANN GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 345-2700
(985) 230-2072
Mailing address
147 SOUTHGATE DR, PONCHATOULA, LA 70454-9222
(985) 377-2471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223950
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215680038
NPI
LA
Enumeration date
02/01/2022
Last updated
08/15/2022
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