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General NPI Number Information
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NPI Number | 1356932446
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Entity Type | Individual
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Provider Name | JESSICA LOUISE GILLIAM FNP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1466 W OAK ST
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City | ZIONSVILLE
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State | IN
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Zip | 46077-1800
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Country | US
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Telephone | 866-389-2727
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Fax | 317-800-7730
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Provider Business Mailing Address
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Address Line | 1466 W OAK ST
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City | ZIONSVILLE
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State | IN
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Zip | 46077-1800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71010781A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-215721
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0002568-C-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 295793
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1138183
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 76235
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License Number State | ID
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 73567
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License Number State | NM
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61173718
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 878259
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95030610
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13378758-4405
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License Number State | UT
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 878259
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License Number State | NV
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Taxonomy #13
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28190353A
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License Number State | IN
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