JEREMY E GILLEN


Address: 8276 Jayme Dr Unit 106, Winter Garden, FL 34787-9029
Phone: 8018312387

JEREMY E GILLEN (NPI# 1710508429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710508429
Entity Type Individual
Full Name JEREMY E GILLEN
Practice Address 8276 Jayme Dr Unit 106
Winter Garden
FL 34787-9029
Practice Telephone 8018312387
Enumeration Date 2020-05-04
Last Update Date 2020-05-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN9532686 FL Nursing Service Providers

Office Location

Street Address 8276 JAYME DR UNIT 106
City WINTER GARDEN
State FL
Zip Code 34787-9029

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City WINTER GARDEN
Zip Code 34787

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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