Individual provider · Type 1 NPI
Tykerra Gilliam, LPN
Licensed Practical Nurse · Walnut Cove, NC
NPI number
1174460448
Active
Practice location
1027 Northridge St
Walnut Cove, NC 27052-6972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 91064 (NC) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1174460448
Tykerra Gilliam, LPN's National Provider Identifier is 1174460448, issued on May 4, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Walnut Cove, NC. The record was last updated on May 4, 2026.