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NPI Code Detail

MEDICARE: MRS. KRISTEN MAY GILLIAM PMHNP-BC

MEDICARE:  MRS. KRISTEN MAY GILLIAM  PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner40897TN

General Provider Information

NPI Number : 1427907112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTEN MAY GILLIAM PMHNP-BC
Provider Business Mailing Address
First Line : 2497 S ROANE ST STE 110
Second Line :
City : HARRIMAN
State : TN
Zip : 37748-8666
Country : US
Telephone Number : 865-599-0300
Fax Number : 865-321-8887
Provider Business Practice Location Address
First Line : 2497 S ROANE ST STE 110
Second Line :
City : HARRIMAN
State : TN
Zip : 37748-8666
Country : US
Telephone Number : 865-599-0300
Fax Number : 865-321-8887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 02/04/2026

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Directions to “ MRS. KRISTEN MAY GILLIAM PMHNP-BC” Practice Location

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