Provider Demographics
NPI:1740749449
Name:GILLI, JOYLAYNE MALONE (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JOYLAYNE
Middle Name:MALONE
Last Name:GILLI
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 JOHNSON FY RD NE STE 130
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1601
Mailing Address - Country:US
Mailing Address - Phone:404-300-2990
Mailing Address - Fax:
Practice Address - Street 1:960 JOHNSON FY RD NE STE 130
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1601
Practice Address - Country:US
Practice Address - Phone:404-300-2990
Practice Address - Fax:404-300-2986
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25551363L00000X
GARN282171363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner