Individual
SHARON LYNN GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CRNP
Contact information
Practice address
150 JACK FARRAR LN, TULLAHOMA, TN 37388-2398
(931) 455-2766
(931) 455-2829
Mailing address
150 JACK FARRAR LN, TULLAHOMA, TN 37388-2398
(931) 455-2766
(931) 455-2829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000006063
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3901577
—
TN
01
—
4088754
BCBS
TN
Enumeration date
10/23/2006
Last updated
11/13/2013
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