Individual provider · Type 1 NPI

Jamie Gilliam, NP

Nurse Practitioner · Orange, CA

NPI number 1114216793 Active

Practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

41 Concierto
Irvine, CA 92620-3408

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN732848 (CA)
Nurse Practitioner Primary 363L00000XNP18761 (CA)

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 1114216793

Jamie Gilliam, NP's National Provider Identifier is 1114216793, issued on Apr 4, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange, CA. The record was last updated on Apr 14, 2015.