Individual
MRS. SHANNA MICHELLE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Mailing address
1540 E EVERGREEN ST, SPRINGFIELD, MO 65803-4300
(417) 823-2900
(417) 886-2774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2008003731
MO
363LF0000X
Family Nurse Practitioner
2021018692
MO
363LF0000X
Family Nurse Practitioner
Primary
AP61565981
WA
Other
Enumeration date
05/23/2021
Last updated
08/14/2025
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