Michelle D Gill, LPN
Individual provider Active NPI Licensed Practical Nurse · Sullivan, IN
NPI 1265601744 · NPPES record last updated Feb 28, 2008
Key facts
- NPI
- 1265601744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 27060998A (IN)
- Practice address
- 742 E Jackson St
Sullivan, IN 47882-1611 - Phone
- (812) 268-4455
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27060998A | IN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27060998A | IN | Yes |
Addresses
Primary practice location
742 E Jackson St
Sullivan, IN 47882-1611
Mailing address
742 E Jackson St
Sullivan, IN 47882-1611
Phone (812) 268-4455
Other providers in Sullivan, IN
- Dustin Clay Ellis
- Jessica Mae Ellsperman
- Emerald Health & Wellness LLC
- Van Evanoff Jr.
- Kevin Braun Flinn
- Destiny Nicole Goldner
- Lynsey Grant
- Brian K Grindstaff
- Caleb Hale
- Christina Hall
All providers in Sullivan, IN · Licensed Practical Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.