Gillis, Alicen Mary

Gillis, Alicen Mary is an individual health care provider with primary practice located at 6602 Knightdale Blvd Ste 202 , Knightdale NC 27545-6526. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gillis, Alicen Mary can be contacted via phone (919) 747-5270.

Contact Information

Primary practice address
6602 Knightdale Blvd Ste 202 Knightdale NC 27545-6526
Phone: (919) 747-5270
Fax: (919) 747-5271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN253042 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5011713 North Carolina

Profile Details

NPI number 1649550302
LBN Legal business name Gillis, Alicen Mary
Credentials MSN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Oct 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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