Misty Amber Gilliland
Nurse Practitioner - Family Medicine
1651 Gunbarrel Rd Ste 301
Chattanooga
, Tennessee 37421-3291
Misty Amber Gilliland
Nurse Practitioner - Family Medicine
1651 Gunbarrel Rd Ste 301
Chattanooga
, Tennessee 37421-3291
(423) 308-0281
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Misty Amber Gilliland
- 4976 Alpha Ln
- Hixson, TN
- Zip : 37343-5470
- Fax : (423) 308-0281
- Phone : (423) 308-0280
Second Address
- Misty Amber Gilliland
- 1651 Gunbarrel Rd Ste 301
- Chattanooga, TN
- Zip : 37421-3291
- Fax : (423) 308-0281
- Phone : (423) 954-9010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 18883 | TN |
National Provider Identifier
| NPI | 1003215500 |
|---|---|
| Provider Name | Misty Amber Gilliland |
| First Address | Hixson, TN 37343-5470 |
| Second Address | Chattanooga, TN 37421-3291 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2014 |
| Last Update Date | 12/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.