Provider Demographics
NPI:1437351525
Name:JAMISON, GILDA LIANE (LPN)
Entity Type:Individual
Prefix:
First Name:GILDA
Middle Name:LIANE
Last Name:JAMISON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N MERIDIAN AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-5706
Mailing Address - Country:US
Mailing Address - Phone:405-948-2770
Mailing Address - Fax:405-948-2773
Practice Address - Street 1:500 N MERIDIAN AVE STE 107
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-5706
Practice Address - Country:US
Practice Address - Phone:405-948-2770
Practice Address - Fax:405-948-2773
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKL0024045164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse