Provider Demographics
NPI:1356216410
Name:GILL, MEKYLA
Entity type:Individual
Prefix:
First Name:MEKYLA
Middle Name:
Last Name:GILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4880 SW 5TH ST APT 2306
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68523-9448
Mailing Address - Country:US
Mailing Address - Phone:531-350-2886
Mailing Address - Fax:
Practice Address - Street 1:4880 SW 5TH ST APT 2306
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68523-9448
Practice Address - Country:US
Practice Address - Phone:531-350-2886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant