Individual
BEVERLY LYNN GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7101
Mailing address
607 BIG PINEY CREEK RD, LANSING, NC 28643-8902
(336) 977-4556
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
263425
NC
363L00000X
Nurse Practitioner
Primary
5017326
NC
Other
Enumeration date
10/05/2022
Last updated
01/10/2023
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