NPI age
19 years
Enumerated 2006-12-15
● Active
Type 1 · Individual
Jaclyn P Gilliam, CNM
Gilliam is 1 of 10 advanced practice midwife providers in Longview and 1 of 678 in Texas.
Primary specialty
Advanced Practice Midwife
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 678 active advanced practice midwife providers in Texas.
NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
1761 W Loop 281
Longview, TX 756042734
Mailing address
1107 E Marshall Ave
Longview, TX 756015602
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
705 E Marshall Ave Ste 3000
Longview, TX 756015661
Location 3
1107 E Marshall Ave
Longview, TX 756015602
Location 4
802 Medical Dr Ste 101
Longview, TX 756055169
Specialties
-
Advanced Practice Midwife PrimaryAdvanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 124101006 | |
| 05 (TX) | 124101005 |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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