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Individual

JOSHUA HENRY GILLIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, APRN

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708
(757) 953-4300
Mailing address
342 CANAAN CIR, SUFFOLK, VA 23435-3536
(612) 325-1445

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
191470-0
MN
176B00000X
Midwife
Primary
374
MN

Other

Enumeration date
09/05/2017
Last updated
08/13/2020
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