Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jedediah A Gilliam, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1841873718

Mr. Jedediah A Gilliam, FNP-BC is a Family Nurse Practitioner in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

809 Lamont St
Johnson City, TN 37604-5453
Phone: (423) 926-1171
Fax: (423) 979-3685
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 29204 (TN)

Record details

NPI number1841873718
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

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