person
Ms. Mary Alyssa Gillis
Family Nurse Practitioner in Columbus, Mississippi
NPI 1285082925

Mary Alyssa Gillis is a Family Nurse Practitioner based in Columbus, MS and is specialized in Family. Mary Alyssa Gillis practices in Columbus, MS. The NPI Number for Mary Alyssa Gillis is 1285082925 and holds a License No. 902060 (Mississippi).

The current practice location address for Mary Alyssa Gillis is 56 Dutch Ln, Columbus, MS and can be reached out via phone at 662-329-3808 and via fax at 662-329-3873.

Location: 56 Dutch Ln, Columbus, MS, 39702-5500
person
Provider Profile Details
NPI Number
1285082925
Provider Name
Mary Alyssa Gillis
Credential
Provider Entity Type
Individual
Gender
Female
Address
56 Dutch Ln, Columbus, MS, 39702-5500
Phone Number
662-329-3808
Fax Number
662-329-3873
Provider Enumeration Date
06/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07121209 05 MS
institution
Provider Business Practice Location Address Details
Address
56 Dutch Ln
City
State
Zip
39702-5500
Phone Number
662-329-3808
Fax Number
662-329-3873
person
Provider Business Mailing Address Details
Address
56 Dutch Ln
City
State
Zip
39702-5500
Phone Number
662-329-3808
Fax Number
662-329-3873
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
902060 (Mississippi)
Definition
Definition to come...
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