Tykerra Gilliam, LPN is a
Licensed Practical Nurse based in Walnut Cove, North Carolina. Tykerra Gilliam is licensed to practice in North Carolina (license number 91064) and her current practice location is
1027 Northridge St, Walnut Cove, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 681-6674.
NPI number for Tykerra Gilliam is 1174460448 and her current mailing address is 1027 Northridge St, Walnut Cove, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174460448.
Provider's Profile
| Full Name | Tykerra Gilliam |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 1027 Northridge St, Walnut Cove, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174460448
- Provider Enumeration Date: 05/04/2026
- Last Update Date: 05/04/2026
Medical Identifiers
Medical identifiers for Tykerra Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174460448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 91064 (North Carolina) | 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. Tykerra Gilliam 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 |
Tykerra Gilliam, LPN 1027 Northridge St, Walnut Cove, NC 27052-6972 Ph: () - | Tykerra Gilliam, LPN 1027 Northridge St, Walnut Cove, NC 27052-6972 Ph: (336) 681-6674 |
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