Doctor Name: | MRS. JOY ESTHER GILLIAM |
NPI Number: | 1548356157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | L0189222 |
Business Practice Address: | 225 N Smith Ave Suite #400 St. Paul, MN - 55102 |
Business Phone Number: | 6517266973 |
Business Fax Number: | 6512335089 |
Mailing Address: | 225 N Smith Ave, Suite #400 ST. PAUL |
State: | MN |
Postal Code: | 55102 |
Phone Number: | 6517266973 |
Fax Number: | 6512335089 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | L0189222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |