IndividualActive
Alicen Gillis, MSN, NP-C
NPI 1649550302 · Nurse Practitioner · Knightdale, NC
Provider details
- NPI number
- 1649550302
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- RN253042 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6602 Knightdale Blvd Ste 202
Knightdale, NC 27545-6526
Phone: (919) 747-5270
Fax: (919) 747-5271
Approximate (ZIP-level) locationGet directions
Mailing address
5213 S Alston Ave
Durham, NC 27713-4430
Registry dates
- Enumerated
- 2011-08-25
- Last updated
- 2021-10-05
- Certified
- 2021-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.