Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL WIDEM
Active Sole ProprietorJILL WIDEM is a Speech, Language and Hearing Specialist healthcare provider located in JOHNS CREEK, Georgia. NPI 1083167993 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · JOHNS CREEK, GA
Registration Details
- NPI Number
- 1083167993
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2016 (10.073390684607 yrs)
- Last Updated
- Jul 27, 2016
- License
-
SLP007721 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
775 ELLSBOROUGH CTJOHNS CREEK, GA, 300052575Browse GA providers · Browse ZIP 30005
- Phone
- 4045180944
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in JOHNS CREEK, GA
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY JAN TUCKER | M.ED., CCC-SLP | 1336131994 |
| MRS. JENNIFER MICHELE VARNADO | SLP006625 | 1669531729 |
| MELISSA DRANE | MSCCCSLP | 1124216726 |
| REBECCA C CICCARELLI | MS CCC/SLP | 1881878304 |
| MRS. AMY B. BERSS | M.A., CCC-SLP | 1275798902 |
| MEAGAN G KIDD | M.ED.CCC-SLP | 1265683544 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.