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TYKERRA GILLIAM LPN
NPI 1174460448
Licensed Practical Nurse in Walnut Cove, NC

Active since May 04, 2026
1027 NORTHRIDGE ST, WALNUT COVE, NC 27052(336) 681-6674 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tykerra Gilliam Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYKERRA GILLIAM LPN (NPI 1174460448) is an individual licensed practical nurse in Walnut Cove, North Carolina, licensed in North Carolina (91064) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1174460448
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTYKERRA GILLIAMCredential: LPN
Location Address1027 NORTHRIDGE STWalnut Cove, NC 27052-6972
Mailing Address1027 Northridge StWalnut Cove, NC 27052-6972
Phone(336) 681-6674
Sole ProprietorYes
Enumeration DateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1174460448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NC · 91064
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1027 NORTHRIDGE ST, Walnut Cove, NC 27052
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tykerra Gilliam's NPI number?

The NPI number for Tykerra Gilliam is 1174460448. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Tykerra Gilliam located?

Tykerra Gilliam practices at 1027 Northridge St, Walnut Cove, NC 27052. The listed phone number is (336) 681-6674.

What is Tykerra Gilliam's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tykerra Gilliam was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.