Gilliam, Darie S.

Gilliam, Darie S. is an individual health care provider with primary practice located at 11990 Jackson St , Clinton LA 70722-3210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gilliam, Darie S. can be contacted via phone (225) 683-5292.

Contact Information

Primary practice address
11990 Jackson St Clinton LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-3411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 84714-2755 Louisiana

Profile Details

NPI number 1174526883
LBN Legal business name Gilliam, Darie S.
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174526883 NPPES
Louisiana MEDICAID 1534935
Louisiana MEDICAID 1653047

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