Certified nurse midwife in Longview, Texas · NPI 1154483113
Jaclyn Gilliam is one of 4 certified nurse midwives practicing in Longview, Texas. See all certified nurse midwives in Texas.
Jaclyn Gilliam practices with Longview Wellness Center Inc.
Registry record (NPPES)
NPI
1154483113
Type
Type 1 · Individual
Primary taxonomy
Advanced Practice Midwife · 367A00000X
Address on file
1761 W Loop 281 Longview, TX 75604-2734 (903) 758-2610
Enumerated
Dec 15, 2006
Record last updated
Aug 26, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TX Certified Nurse Midwife (CNM)
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.