Individual provider · Type 1 NPI

Blake Hamilton Gilliam

Nurse Practitioner · Madison, AL

NPI number 1043845787 Active

Practice location

1230 Slaughter Rd Ste C
Madison, AL 35758-5901

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X1-153719 (AL)
Nurse Practitioner Primary 363L00000X1-153719 (AL)
Acute Care Nurse Practitioner 363LA2100X1-153719 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043845787

Blake Hamilton Gilliam's National Provider Identifier is 1043845787, issued on Mar 3, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Madison, AL. The record was last updated on Mar 3, 2020.