Individual
AMANDA KAYANNA GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
310 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-6322
Mailing address
310 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-6322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021732
NC
Other
Enumeration date
03/03/2025
Last updated
07/21/2025
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