Sharon Lynn Gilliam
Nurse Practitioner
150 Jack Farrar Ln
Tullahoma
, Tennessee 37388-2398
Sharon Lynn Gilliam
Nurse Practitioner
150 Jack Farrar Ln
Tullahoma
, Tennessee 37388-2398
(931) 455-2829
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Sharon Lynn Gilliam
- 150 Jack Farrar Ln
- Tullahoma, TN
- Zip : 37388-2398
- Fax : (931) 455-2829
- Phone : (931) 455-2766
Second Address
- Sharon Lynn Gilliam
- 150 Jack Farrar Ln
- Tullahoma, TN
- Zip : 37388-2398
- Fax : (931) 455-2829
- Phone : (931) 455-2766
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN0000006063 | TN |
National Provider Identifier
| NPI | 1013090422 |
|---|---|
| Provider Name | Sharon Lynn Gilliam |
| First Address | Tullahoma, TN 37388-2398 |
| Second Address | Tullahoma, TN 37388-2398 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2006 |
| Last Update Date | 13/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3901577 | (05) | TN |
| 4088754 | BCBS (01) | TN |
| P60040 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.