Individual provider · Type 1 NPI
Stephanie Marie Gilliland, AGPCNP-BC
Nurse Practitioner · Detroit, MI
Practice location
2111 Woodward Ave
Detroit, MI 48201-3421
Mailing address
9714 Kylie Dr
Brighton, MI 48116-6824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | APN.0997154-NP (CO) |
| Nurse Practitioner Primary | 363L00000X | 4704339640 (MI) |
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…
2 other providers at this address
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About NPI 1659030013
Stephanie Marie Gilliland, AGPCNP-BC's National Provider Identifier is 1659030013, issued on Dec 14, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Mar 26, 2026.