Individual provider · Type 1 NPI

Alicen Mary Gillis, MSN, NP-C

Nurse Practitioner · Knightdale, NC

NPI number 1649550302 Active

Practice location

6602 Knightdale Blvd Ste 202
Knightdale, NC 27545-6526

Fax (919) 747-5271

Mailing address

5213 S Alston Ave
Durham, NC 27713-4430

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN253042 (MA)
Nurse Practitioner Primary 363L00000X5011713 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649550302

Alicen Mary Gillis, MSN, NP-C's National Provider Identifier is 1649550302, issued on Aug 25, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Knightdale, NC. The record was last updated on Oct 5, 2021.