Provider Demographics
NPI:1609758796
Name:JAIMAN, JILLIAN LYNN
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:LYNN
Last Name:JAIMAN
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 1:4032 LAKE UNDERHILL RD APT H
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-7072
Mailing Address - Country:US
Mailing Address - Phone:407-495-9797
Mailing Address - Fax:
Practice Address - Street 1:5449 S SEMORAN BLVD STE 237
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-1780
Practice Address - Country:US
Practice Address - Phone:689-231-9604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty