Provider Demographics
NPI:1235745126
Name:GILLES, ALLISON USSET (DNP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:USSET
Last Name:GILLES
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19330 MYSTIQUE DR
Mailing Address - Street 2:
Mailing Address - City:CORCORAN
Mailing Address - State:MN
Mailing Address - Zip Code:55340-9201
Mailing Address - Country:US
Mailing Address - Phone:612-990-1175
Mailing Address - Fax:
Practice Address - Street 1:2240 DREW AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55416-3646
Practice Address - Country:US
Practice Address - Phone:952-985-0747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7619363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner