Gillmore, Michelle M

Gillmore, Michelle M is an individual health care provider with primary practice located at 1201 E Michigan Ave Ste 240 , Jackson MI 49201-1855. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gillmore, Michelle M can be contacted via phone (517) 205-1591.

Contact Information

Primary practice address
1201 E Michigan Ave Ste 240 Jackson MI 49201-1855
Phone: (517) 205-1591
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704211845 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704211845 Michigan

Profile Details

NPI number 1225222946
LBN Legal business name Gillmore, Michelle M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Jul 21st, 2022 - about 2 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 1225222946 NPPES
Michigan Other 4704211845 STATE LICENSE

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