MR. Jedediah A Gilliam, FNP-BC is a family nurse practitioner in Johnson City, TN. MR. Jedediah A Gilliam, FNP-BC NPI is 1841873718. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
809 LAMONT ST
JOHNSON CITY, TN
ZIP 37604-453
Phone: (423) 926-1171
Fax: (423) 979-3685
The NPI 1841873718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/29/2021 and was last updated on 11/8/2022.