Individual
ALICEN MARY GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
6602 KNIGHTDALE BLVD STE 202, KNIGHTDALE, NC 27545-6526
(919) 747-5270
(919) 747-5271
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011713
NC
363LA2200X
Adult Health Nurse Practitioner
RN253042
MA
Other
Enumeration date
08/25/2011
Last updated
10/05/2021
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