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

Shanice Latoya Gilliam

Individual provider Nurse's Aide · NPI 1942886064

Shanice Latoya Gilliam is a Nurse's Aide in Springfield, Ohio. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

653 Victory Rd
Springfield, OH 45504-3737
Phone: (937) 215-2107
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X (IL)

Record details

NPI number1942886064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 19, 2021
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

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