Individual provider · Type 1 NPI

Kristine Gillis, AG-ACNP

Gerontology Nurse Practitioner · Charlottesville, VA

NPI number 1245950716 Active

Practice location

1240 Lee St
Charlottesville, VA 22908-0817

Fax (434) 244-7526

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-0817 · (434) 924-0211

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X0024185361 (VA)
Hematology & Oncology Physician 207RH0003X0024185361 (VA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1245950716

Kristine Gillis, AG-ACNP's National Provider Identifier is 1245950716, issued on Sep 2, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Charlottesville, VA. The record was last updated on Sep 29, 2026.