Individual provider · Type 1 NPI
Lucinda Lou Kil Gillis, N.P.
Psychiatric/Mental Health Nurse Practitioner · South Bend, IN
NPI number
1639908601
Active
Practice location
17434 State Road 23
South Bend, IN 46635-1743
Fax (574) 272-6429
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71015554A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1639908601
Lucinda Lou Kil Gillis, N.P.'s National Provider Identifier is 1639908601, issued on Jul 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in South Bend, IN. The record was last updated on Mar 11, 2026.