Provider Demographics
NPI:1740076181
Name:GILL, GABRIELLE JANE
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:JANE
Last Name:GILL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 KNOX ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1736
Mailing Address - Country:US
Mailing Address - Phone:531-721-4582
Mailing Address - Fax:
Practice Address - Street 1:1501 KNOX ST APT 1D
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1736
Practice Address - Country:US
Practice Address - Phone:531-721-4582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEH13889850372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion