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

MS. Dora Channel Gilliam, LPN

Individual provider Licensed Practical Nurse · NPI 1659895803

MS. Dora Channel Gilliam, LPN is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

6309 Mack Ave
Detroit, MI 48207-2302
Phone: (248) 773-6967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704419933 (MI)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 4703094401 (MI)

Record details

NPI number1659895803
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

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