Provider Demographics
NPI:1063100451
Name:SILVA, LILIAN DJAMILA P (DNP)
Entity type:Individual
Prefix:DR
First Name:LILIAN DJAMILA
Middle Name:P
Last Name:SILVA
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 MASON ST # 2
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-4127
Mailing Address - Country:US
Mailing Address - Phone:857-285-1289
Mailing Address - Fax:
Practice Address - Street 1:26 MASON ST # 2
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-4127
Practice Address - Country:US
Practice Address - Phone:857-285-1289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2335555163WP0808X
RIAPRN04156363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty