Gilliam, Sharon Lynn

Gilliam, Sharon Lynn is an individual health care provider with primary practice located at 150 Jack Farrar Ln , Tullahoma TN 37388-2398. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gilliam, Sharon Lynn can be contacted via phone (931) 455-2766.

Contact Information

Primary practice address
150 Jack Farrar Ln Tullahoma TN 37388-2398
Phone: (931) 455-2766
Fax: (931) 455-2829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000006063 Tennessee

Profile Details

NPI number 1013090422
LBN Legal business name Gilliam, Sharon Lynn
Credentials MSN CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Nov 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013090422 NPPES
Tennessee Other 4088754 BCBS
Tennessee MEDICAID 3901577 BCBS

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