Samantha Lynn Gillam, APRN
NPI #1891684783 in Port Orange, Florida
Provider Information
- NPI Number
- 1891684783
- Entity Type
- Individual
- Name
- Samantha Lynn Gillam, APRN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- APRN
- Enumeration Date
- Jul 2, 2025
- Last Updated
- Jul 2, 2025
Practice Location
- Address
- 5132 TAYLOR AVE
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32127-8607
- Phone
- (704) 798-0619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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