Individual
MS. NANCY J GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN BC
Contact information
Practice address
755 MEMORIAL PKWY STE 106, PHILLIPSBURG, NJ 08865
(908) 847-0514
(866) 747-3167
Mailing address
755 MEMORIAL PKWY STE 106, PHILLIPSBURG, NJ 08865-2774
(908) 847-0514
(866) 747-3167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00077700
NJ
363LF0000X
Family Nurse Practitioner
26NJ00077700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058432
—
NJ
01
—
223733353
HORIZON
NJ
01
—
2318736
AETNA
NJ
Enumeration date
06/02/2006
Last updated
06/22/2018
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