Provider Type Icon

MRS. GRETTA LYNN GILLIAM DNP ARNP FNP-C NPI 1821297698


NPI Information

NPI: 1821297698
Provider Name: MRS. GRETTA LYNN GILLIAM, DNP, ARNP, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1850 W REPUBLIC RD
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 891-4800
Get Directions

MRS. Gretta Lynn Gilliam, DNP, ARNP, FNP-C is a family nurse practitioner in Springfield, MO. MRS. Gretta Lynn Gilliam, DNP, ARNP, FNP-C NPI is 1821297698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1850 W REPUBLIC RD
SPRINGFIELD, MO
ZIP 65807-730
Phone: (417) 891-4800
Fax: (417) 891-4913

The enumeration date for this NPI number is 7/12/2007 and was last updated on 3/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health138082MISSOURINo
2363LF0000XNurse PractitionerFamily138082MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.