Individual
JARRETT GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 GRAVIER ST, NEW ORLEANS, LA 70112-2262
(504) 568-4113
Mailing address
PO BOX 6014, HOUMA, LA 70361-6014
(985) 850-6398
(985) 873-3789
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
213711
LA
Other
Enumeration date
03/19/2020
Last updated
09/15/2023
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