Individual
MS. BLAIR TAYLOR GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
44 ALIANT PKWY, ALEXANDER CITY, AL 35010-3426
(256) 234-4131
(256) 234-9979
Mailing address
PO BOX 789, 44 ALIANT PARKWAY, ALEXANDER CITY, AL 35011-0789
(256) 234-4131
(256) 234-9979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-114364
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-114364
LICENSE
AL
Enumeration date
01/14/2014
Last updated
06/14/2022
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