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

Mr. Micky Vin Gilliam Jr., RN

Individual provider Community Health Registered Nurse · NPI 1568837086

Mr. Micky Vin Gilliam Jr., RN is a Community Health Registered Nurse in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1100 E Wendover Ave
Greensboro, NC 27405-6713
Phone: (336) 641-3221
Show map & directions

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

Specialties & licences

Community Health Registered Nurse (primary) Taxonomy 163WC1500X · Licence 267500 (NC)

Record details

NPI number1568837086
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 9, 2015
Last updated in NPPESDecember 9, 2015

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