Most Relevant Information
Provider Data
| NPI Number: | 1003215500 |
| Provider Name: | MISTY GILLILAND FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 18883 |
Most Important Dates
| Enumeration Date: | 08/20/2014 |
| Last Updated: | 03/21/2024 |
Provider Practice Location
1726 GUNBARREL RD STE 100
CHATTANOOGA
TN
374214753
Practice Location Phone/Fax
| Phone: | 4239549010 |
| Fax: | 4235108561 |
Provider Mailing Location
4976 ALPHA LN
HIXSON
TN
373435470
Provider Mailing Phone/Fax
| Phone: | 4234975355 |
| Fax: | 4233080281 |