person
Crystal Gillis, FNP
Hospice Registered Nurse in Clinton, North Carolina
NPI 1548405962

Crystal Gillis is a Hospice Registered Nurse based in Godwin, NC and is specialized in Hospice. Crystal Gillis practices in Clinton, NC and has the professional credentials of FNP. The NPI Number for Crystal Gillis is 1548405962 and holds a License No. 5012411 (North Carolina).

The current practice location address for Crystal Gillis is 403 Fairview St, Clinton, NC and can be reached out via phone at 105-929-6011 and via fax at 910-592-0819.

Location: 403 Fairview St, Clinton, NC, 28344-8379
person
Provider Profile Details
NPI Number
1548405962
Provider Name
Crystal Gillis
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
403 Fairview St, Clinton, NC, 28344-8379
Phone Number
105-929-6011
Fax Number
910-592-0819
Provider Enumeration Date
12/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
170713 01 NC NORTH CAROLINA BOARD OF NURSING
5012411 01 NC FAMILY NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
403 Fairview St
City
State
Zip
28328-2399
Phone Number
105-929-6011
Fax Number
910-592-0819
person
Provider Business Mailing Address Details
Address
403 Fairview St
City
State
Zip
28328-2399
Phone Number
105-929-6011
Fax Number
910-592-0819
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Hospice
Taxonomy
License No.
170713 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5012411 (North Carolina)
Definition
Definition to come...
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