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NPI Code Detail

MEDICARE: JESSICA LOUISE GILLIAM FNP

MEDICARE: JESSICA LOUISE GILLIAM FNP
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
1363LF0000XFamily Nurse Practitioner71010781AIN
2363LF0000XFamily Nurse PractitionerAPRN-215721MT
3363LF0000XFamily Nurse PractitionerC-APN.0002568-C-NPCO
4363LF0000XFamily Nurse Practitioner295793AZ
5363LF0000XFamily Nurse Practitioner1138183TX
6363LF0000XFamily Nurse Practitioner76235ID
7363LF0000XFamily Nurse Practitioner73567NM
8363LF0000XFamily Nurse PractitionerAP61173718WA
9363LF0000XFamily Nurse Practitioner878259NV
10363L00000XNurse Practitioner95030610CA
11363LF0000XFamily Nurse Practitioner13378758-4405UT
12363L00000XNurse Practitioner878259NV
13163W00000XRegistered Nurse28190353AIN

General Provider Information

NPI Number : 1356932446
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LOUISE GILLIAM FNP
Provider Business Mailing Address
First Line : 1466 W OAK ST
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-1800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1466 W OAK ST
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-1800
Country : US
Telephone Number : 866-389-2727
Fax Number : 317-800-7730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2021
Last Update Date : 02/09/2026

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