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

Tara Cherrelle Gilliam, NP

Individual provider Adult Health Nurse Practitioner · NPI 1487487302

Tara Cherrelle Gilliam, NP is an Adult Health Nurse Practitioner in Patchogue, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (631) 654-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 158 Mark Tree Rd, Centereach, NY 11720-2238 — (631) 740-7774

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 311842 (NY)

Record details

NPI number1487487302
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 25, 2024

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