Individual
STEPHANIE MARIE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2111 WOODWARD AVE, DETROIT, MI 48201-3421
(313) 546-0900
Mailing address
9714 KYLIE DR, BRIGHTON, MI 48116-6824
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704339640
MI
363L00000X
Nurse Practitioner
APN.0997154-NP
CO
Other
Enumeration date
12/14/2021
Last updated
03/26/2026
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