Latasha Nicole Gilliard, FNP-BC is a
Nurse Practitioner - Family based in Nicholls, Georgia. Latasha Nicole Gilliard is licensed to practice in Georgia (license number NCO-000003) and her current practice location is
7171 Nails Rd, Nicholls, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 381-4675.
NPI number for Latasha Nicole Gilliard is 1831568724 and her current mailing address is 7171 Nails Rd, Nicholls, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831568724.
Provider's Profile
Full Name | Latasha Nicole Gilliard |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 7171 Nails Rd, Nicholls, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831568724
- Provider Enumeration Date: 09/21/2015
- Last Update Date: 09/21/2015
Medical Identifiers
Medical identifiers for Latasha Nicole Gilliard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831568724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | NCO-000003 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latasha Nicole Gilliard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Latasha Nicole Gilliard, FNP-BC 7171 Nails Rd, Nicholls, GA 31554-4613 Ph: () - | Latasha Nicole Gilliard, FNP-BC 7171 Nails Rd, Nicholls, GA 31554-4613 Ph: (912) 381-4675 |
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