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STEPHANIE RAE GILLIS MS, NP-C, CRNP
NPI 1790069490
Nurse Practitioner - Family in Ellicott City, MD

Active since September 29, 2011
3300 CENTENNIAL LN, ELLICOTT CITY, MD 21042(866) 389-2727 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2022, Sep 18, 2021, Mar 6, 2019 and 1 more (4 updates tracked since 2018).

About Stephanie Rae Gillis Ms, Np-c, Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE RAE GILLIS MS, NP-C, CRNP (NPI 1790069490) is an individual family provider in Ellicott City, Maryland, licensed in Maryland (R169531) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1790069490
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE RAE GILLISCredential: MS, NP-C, CRNP
Location Address3300 CENTENNIAL LNEllicott City, MD 21042-3600
Mailing Address3159 Pine Orchard Ln Apt 302Ellicott City, MD 21042-4223 · (443) 420-8391
Phone(866) 389-2727
Sole ProprietorNo
Enumeration DateSeptember 29, 2011
Last NPPES UpdateFebruary 1, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1790069490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R169531
3300 CENTENNIAL LN, Ellicott City, MD 21042
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN KIM RPH
Pharmacist
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Howard County (410) 750-9439
YELIZAVETA BAVOSA PA-C
Physician Assistant
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Howard County (866) 389-2727
ALICE OFORI FNP
Nurse Practitioner (Family)
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Howard County (866) 389-2727
EDEN FERNANDEZ PA-C
Physician Assistant
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Howard County (866) 389-2727
SHANNON CRAIG CRNP
Nurse Practitioner (Family)
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Howard County (866) 389-2727
ROSINA GRACE EPOLLE MESUMBE PHARMD
Pharmacist
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Howard County (410) 750-9439
FELICIA TALBOTT
Pharmacist
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Howard County (410) 750-9439
DR. ANNE FRANCES DELISA
Pharmacist
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Howard County (410) 750-9439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Gillis's NPI number?

The NPI number for Stephanie Gillis is 1790069490. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Stephanie Gillis located?

Stephanie Gillis practices at 3300 Centennial Ln, Ellicott City, MD 21042. The listed phone number is (866) 389-2727.

What is Stephanie Gillis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stephanie Gillis was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.