Blake Hamilton Gilliam
Nurse Practitioner · Madison, AL
Practice location
1230 Slaughter Rd Ste CMadison, AL 35758-5901
- Phone
- (256) 325-0955
NPI record
- NPI
- 1043845787
- Entity type
- Individual (Type 1)
- Enumeration date
- March 3, 2020
- Last updated
- March 3, 2020
- Certified
- March 3, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
1-153719 | AL |
| Gerontology Nurse Practitioner | 363LG0600X |
1-153719 | AL |
| Acute Care Nurse Practitioner | 363LA2100X |
1-153719 | AL |
About Blake Gilliam
Blake Hamilton Gilliam is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1230 Slaughter Rd Ste C, Madison, AL 35758-5901. The NPI number 1043845787 was assigned on March 3, 2020 and the record was last updated on March 3, 2020.
Blake Gilliam lists 3 licenses in the registry: #1-153719 (AL) for Nurse Practitioner; #1-153719 (AL) for Gerontology Nurse Practitioner; #1-153719 (AL) for Acute Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Blake Hamilton Gilliam?
The NPI number is 1043845787.
What is the phone number of Blake Gilliam?
The phone number listed for the practice location is (256) 325-0955.
Where is Blake Gilliam located?
1230 Slaughter Rd Ste C, Madison, AL 35758-5901.
What is the taxonomy code for Blake Gilliam?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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