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Mr. Blake Hamilton Gilliam
Acute Care Nurse Practitioner in Madison, Alabama
NPI 1043845787

Blake Hamilton Gilliam is an Acute Care Nurse Practitioner based in Madison, AL and is specialized in Acute Care. Blake Hamilton Gilliam practices in Madison, AL. The NPI Number for Blake Hamilton Gilliam is 1043845787 and holds a License No. 1-153719 (Alabama).

The current practice location address for Blake Hamilton Gilliam is 1230 Slaughter Rd Ste C, Madison, AL and can be reached out via phone at 256-325-0955.

Location: 1230 Slaughter Rd Ste C, Madison, AL, 35758-5901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043845787
Provider Name
Blake Hamilton Gilliam
Credential
Provider Entity Type
Individual
Gender
Male
Address
1230 Slaughter Rd Ste C, Madison, AL, 35758-5901
Phone Number
256-325-0955
Fax Number
Provider Enumeration Date
03/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1230 Slaughter Rd Ste C
City
Madison
State
Alabama
Zip
35758-5901
Phone Number
256-325-0955
Fax Number
person
Provider Business Mailing Address Details
Address
1230 Slaughter Rd Ste C
City
Madison
State
Alabama
Zip
35758-5901
Phone Number
256-325-0955
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1-153719 (Alabama)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
1-153719 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
1-153719 (Alabama)
Definition
Definition to come...
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