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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA LYNN GILLAM, APRN

Active Sole Proprietor

SAMANTHA LYNN GILLAM, APRN is a Nurse Practitioner healthcare provider located in PORT ORANGE, Florida. NPI 1891684783 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · PORT ORANGE, FL

Registration Details

NPI Number
1891684783
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2025 (1.1216209734219 yrs)
Last Updated
Jul 2, 2025
License
APRN11040193 (FL)
Sole Proprietor
Yes

Practice Information

Address
5132 TAYLOR AVE
PORT ORANGE, FL, 321278607
Browse FL providers · Browse ZIP 32127
Phone
7047980619
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in PORT ORANGE, FL

Name Credential NPI
LOIS JASKULSKY ARNP 1851391510
JASON L WELCH NP 1396791109
LARA J. NANCE ANP 1558398123
MARGARET BURG ARNP 1295843027
NITRA HOBBS WELCH ARNP 1821141714
MS. AMANDA FAYE ADKINS ARNP-C 1104007376
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.