person
Ms. Canisha Shanara Gillon, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Palatka, Florida
NPI 1063981892

Canisha Shanara Gillon is a Psychiatric/Mental Health Nurse Practitioner based in Kissimmee, FL and is specialized in Psychiatric/Mental Health. Canisha Shanara Gillon practices in Palatka, FL and has the professional credentials of PMHNP. The NPI Number for Canisha Shanara Gillon is 1063981892 and holds a License No. GAA-NP000536 (Florida).

The current practice location address for Canisha Shanara Gillon is 330 Kay Larkin Dr, Palatka, FL and can be reached out via phone at 386-329-3780.

Location: 330 Kay Larkin Dr, Palatka, FL, 34744-7224
person
Provider Profile Details
NPI Number
1063981892
Provider Name
Canisha Shanara Gillon
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
330 Kay Larkin Dr, Palatka, FL, 34744-7224
Phone Number
386-329-3780
Fax Number
Provider Enumeration Date
11/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
330 Kay Larkin Dr
City
State
Zip
32177-2307
Phone Number
386-329-3780
Fax Number
person
Provider Business Mailing Address Details
Address
330 Kay Larkin Dr
City
State
Zip
32177-2307
Phone Number
386-329-3780
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
GAA-NP000536 (Georgia)
Definition
Definition to come...
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