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

Mrs. Martha Jane Gilliam, ANP-BC

Individual provider Registered Nurse · NPI 1578549333

Mrs. Martha Jane Gilliam, ANP-BC is a Nurse Practitioner in Tucson, Arizona. Qualified in 1997, 29 years ago. Practices with Tmc Medical Network, a 277-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
29
Licensed in
AZ
In the registry since
2005
Specialties on file
4
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Practice location Address checks out

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone: (520) 324-3771
Fax: (520) 324-8091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP7115 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN053744 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP0273 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN053744 (AZ)

Record details

NPI number1578549333
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESSeptember 16, 2021
Certification dateSeptember 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Tmc Medical Network — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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