| Doctor Name: | JANE GILLEY |
| NPI Number: | 1184093403 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0024172667 |
| Business Practice Address: | 125 Akers Farm Rd Suite B Christiansburg, VA - 240734866 |
| Business Phone Number: | 5403818595 |
| Business Fax Number: | 5405447707 |
| Mailing Address: | 125 Akers Farm Rd, Suite B CHRISTIANSBURG |
| State: | VA |
| Postal Code: | 240734866 |
| Phone Number: | 5403818595 |
| Fax Number: | 5405447707 |
| NPI Enumeration Date: | 09/16/2015 |
| NPI Last Update Date: | 05/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024172667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |