Gillis, Crystal

Gillis, Crystal is an individual health care provider with primary practice located at 403 Fairview St , Clinton NC 28328-2399. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Hospice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gillis, Crystal can be contacted via phone (105) 929-6011.

Contact Information

Primary practice address
403 Fairview St Clinton NC 28328-2399
Phone: (105) 929-6011
Fax: (910) 592-0819
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5012411 North Carolina
Nursing Service Providers / Hospice 163WH1000X 170713 North Carolina

Profile Details

NPI number 1548405962
LBN Legal business name Gillis, Crystal
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated Jul 8th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548405962 NPPES
North Carolina Other 170713 NORTH CAROLINA BOARD OF NURSING
North Carolina Other 5012411 NORTH CAROLINA BOARD OF NURSING

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