Individual provider · Type 1 NPI
Samantha Lynn Gillam, APRN
Nurse Practitioner · Port Orange, FL
Practice location
5132 Taylor Ave
Port Orange, FL 32127-8607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11040193 (FL) |
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 1891684783
Samantha Lynn Gillam, APRN's National Provider Identifier is 1891684783, issued on Jul 2, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Orange, FL. The record was last updated on Jul 2, 2025.