Individual provider · Type 1 NPI

Melody Gilliam, R.N.

Psychiatric/Mental Health Registered Nurse · New Tazewell, TN

NPI number 1104298116 Active

Practice location

1596 Highway 33 S
New Tazewell, TN 37825-7104

Fax (865) 342-0106

Mailing address

6350 W Andrew Johnson Hwy, Department 100
Talbott, TN 37877-8605

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN200435 (TN)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1104298116

Melody Gilliam, R.N.'s National Provider Identifier is 1104298116, issued on Oct 29, 2015. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in New Tazewell, TN. The record was last updated on Oct 29, 2015.