Provider Demographics
NPI:1871304758
Name:ELSHANAWANY, GILLIAN HIGGINS (PA-C)
Entity type:Individual
Prefix:
First Name:GILLIAN
Middle Name:HIGGINS
Last Name:ELSHANAWANY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 PROCURE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2627
Mailing Address - Country:US
Mailing Address - Phone:919-762-6845
Mailing Address - Fax:919-762-6865
Practice Address - Street 1:1006 PROCURE ST STE 100
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2627
Practice Address - Country:US
Practice Address - Phone:919-762-6845
Practice Address - Fax:919-762-6865
Is Sole Proprietor?:No
Enumeration Date:2025-01-18
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-14977363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant