person
Mr. Jedediah A Gilliam, FNP-BC
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1841873718

Jedediah A Gilliam is a Family Nurse Practitioner based in Kingsport, TN and is specialized in Family. Jedediah A Gilliam practices in Johnson City, TN and has the professional credentials of FNP-BC. The NPI Number for Jedediah A Gilliam is 1841873718 and holds a License No. 29204 (Tennessee).

The current practice location address for Jedediah A Gilliam is 809 Lamont St, Johnson City, TN and can be reached out via phone at 423-926-1171 and via fax at 423-979-3685.

Location: 809 Lamont St, Johnson City, TN, 37664-5359
person
Provider Profile Details
NPI Number
1841873718
Provider Name
Jedediah A Gilliam
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
809 Lamont St, Johnson City, TN, 37664-5359
Phone Number
423-926-1171
Fax Number
423-979-3685
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
809 Lamont St
City
State
Zip
37604-5453
Phone Number
423-926-1171
Fax Number
423-979-3685
person
Provider Business Mailing Address Details
Address
809 Lamont St
City
State
Zip
37604-5453
Phone Number
423-926-1171
Fax Number
423-979-3685
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
29204 (Tennessee)
Definition
Definition to come...
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