Individual provider · Type 1 NPI

Jasmine Gilliam

Electroneurodiagnostic Specialist/Technologist · Fairfield, NJ

NPI number 1093285900 Active

Practice location

700 US Highway 46 Ste 420
Fairfield, NJ 07004-1532

Call (973) 882-3456 Map

Mailing address

10110 Northlake Heights Cir NE
Atlanta, GA 30345-2275

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1093285900

Jasmine Gilliam's National Provider Identifier is 1093285900, issued on Dec 4, 2018. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Fairfield, NJ. The record was last updated on Dec 4, 2018.