Individual provider · Type 1 NPI

Martina Dianna Gilliam, FNP-C

Family Nurse Practitioner · Tupelo, MS

NPI number 1497560718 Active

Practice location

4381 S Eason Blvd
Tupelo, MS 38801-6583

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF02250347 (MS)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1497560718

Martina Dianna Gilliam, FNP-C's National Provider Identifier is 1497560718, issued on Feb 12, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tupelo, MS. The record was last updated on Mar 24, 2026.