| Doctor Name: | MS. THERESA LYNN GILLILAND |
| NPI Number: | 1083785513 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 11076 |
| Business Practice Address: | 1393 Bailey St Hanford, CA - 932305922 |
| Business Phone Number: | 5595824481 |
| Business Fax Number: | |
| Mailing Address: | 4426 E Race Ave, VISALIA |
| State: | CA |
| Postal Code: | 932924430 |
| Phone Number: | 5304091659 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 03/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 11076 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |