Provider Demographics
NPI:1588809842
Name:GILCHRIST, JILL D (NP)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:D
Last Name:GILCHRIST
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:JILL
Other - Middle Name:DENISE
Other - Last Name:GILCHRIST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:1325 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-3860
Mailing Address - Country:US
Mailing Address - Phone:864-725-4095
Mailing Address - Fax:864-725-5082
Practice Address - Street 1:1325 SPRING ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3860
Practice Address - Country:US
Practice Address - Phone:864-725-4095
Practice Address - Fax:864-725-5082
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3767363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP1338Medicaid
SCNP1338Medicaid