Provider Demographics
NPI:1770652695
Name:THOMAS, GILLIAN WESTHORP (NP)
Entity Type:Individual
Prefix:
First Name:GILLIAN
Middle Name:WESTHORP
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:624 QUAKER LN
Mailing Address - Street 2:STE.207C
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3832
Mailing Address - Country:US
Mailing Address - Phone:336-883-2500
Mailing Address - Fax:336-883-9728
Practice Address - Street 1:2401 HICKSWOOD RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1537
Practice Address - Country:US
Practice Address - Phone:336-884-6000
Practice Address - Fax:336-884-7222
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC201568363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC174845OtherBOARD OF NURSING LICENSE
NC2592834Medicare PIN
NC2592834AMedicare PIN
NCNC7993BMedicare PIN