Gilliam, Gretta Lynn

Gilliam, Gretta Lynn is an individual health care provider with primary practice located at 1850 W Republic Rd , Springfield MO 65807-5730. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gilliam, Gretta Lynn can be contacted via phone (417) 891-4800.

Contact Information

Primary practice address
1850 W Republic Rd Springfield MO 65807-5730
Phone: (417) 891-4800
Fax: (417) 891-4913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 138082 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 138082 Missouri

Profile Details

NPI number 1821297698
LBN Legal business name Gilliam, Gretta Lynn
Credentials DNP, ARNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Mar 30th, 2021 - about 4 years ago

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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