Provider Demographics
NPI:1093559544
Name:GILL, JAGJIT KAUR
Entity type:Individual
Prefix:
First Name:JAGJIT
Middle Name:KAUR
Last Name:GILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 CHOSIN FEW WAY
Mailing Address - Street 2:APT 3240
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-7259
Mailing Address - Country:US
Mailing Address - Phone:647-772-4556
Mailing Address - Fax:
Practice Address - Street 1:225 CHOSIN FEW WAY
Practice Address - Street 2:APT 3240
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-7259
Practice Address - Country:US
Practice Address - Phone:647-772-4556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY354123363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily