Individual
DR. JESSICA LYNN GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1144 N ROAD STREEAT, ELIZABETH CITY, NC 27909-0000
(252) 335-0531
Mailing address
104 WIDGEON DR, CURRITUCK, NC 27929-9628
(910) 331-0314
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016-01695
NC
207R00000X
Internal Medicine Physician
0102207591
VA
207R00000X
Internal Medicine Physician
2016-01695
NC
Other
Enumeration date
06/26/2011
Last updated
06/06/2024
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