Individual
JACKIE CAROLE GILLILAND
Active
Individual
JACKIE CAROLE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R0027885
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749570S
—
OK
Enumeration date
01/31/2008
Last updated
06/17/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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