MS. KATHLEEN JAN GILLIS RN MSN FNP NPI 1750354882

NPI Information

MS. Kathleen Jan Gillis, RN MSN FNP is a family nurse practitioner in Oakland, CA. MS. Kathleen Jan Gillis, RN MSN FNP NPI is 1750354882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3100 TELEGRAPH AVE
SUITE 2102
OAKLAND, CA
ZIP 94609-210
Phone: (510) 286-8160
Fax: (510) 286-8158

The NPI 1750354882 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 4/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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