DR. JESSICA LYNN GILLMAN (NPI# 1275829475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275829475 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LYNN GILLMAN |
| Credential | D.O. |
| Practice Address |
1144 N Road Streeat Elizabeth City NC 27909-0000 |
| Mailing Address |
104 Widgeon Dr Currituck NC 27929-9628 |
| Practice Telephone | 2523350531 |
| Mailing Telephone | 9103310314 |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2016-01695 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2016-01695 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366960569 | Jessica Gillman | Licensed Practical Nurse | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2017-09-07 |
| Street Address |
1144 N ROAD STREEAT |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063559615 | David Michael Davis | Emergency Medicine | Albemarle Hospital 1144 N Road Street, Elizabeth City, NC 27909-3353 | 2007-01-31 |
| 1801880141 | Alvah Price Monds | Emergency Medicine | 615 S Hughes Blvd, Elizabeth City, NC 27909-4785 | 2005-09-01 |
| 1093240764 | Rachel Pretko | Emergency Medicine | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2017-05-01 |
| 1255629259 | Andrea Lynn Wierman | Emergency Medicine | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2011-07-12 |
| 1245551902 | James David Heaton | Emergency Medicine | 1144 N Road St, Elizabeth City, NC 27909 | 2010-06-17 |
| 1487804670 | Waterway Emergency Physicians LLC | Emergency Medicine | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2008-09-24 |
| 1174784565 | Brigid M Linnan | Emergency Medicine | 1144 N Road St, Albemarle Hospital, Elizabeth City, NC 27909-3473 | 2008-06-19 |
| 1164683553 | Michael K Mcdavit | Emergency Medicine | 1144 N Road St, Elizabeth City, NC 27909-3473 | 2008-06-19 |
| 1407057508 | Samantha L Furia | Emergency Medicine | 1805 W City Dr Ste H, Elizabeth City, NC 27909-9660 | 2007-05-29 |
| 1215077102 | Roger D Gallant | Emergency Medicine | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2007-02-08 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on DR. JESSICA LYNN GILLMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.