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Contact Information

SHARON L GILLIAM, MSN CRNP
150 JACK FARRAR LN
TULLAHOMA, TN37388-2398
 Phone: 931-455-2766
 Fax: 931-455-2829
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHARON L GILLIAM · (Female)

NPI # 1013090422
Status Active
Credentials MSN CRNP
Entity Individual
Enumeration date 10/23/2006
Last updated 11/13/2013 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TN License # APN0000006063
  • TN Medicaid 3901577
  • TN Other 4088754 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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