Provider Demographics
NPI:1568118388
Name:HARPER, JILLIAN GILES (NP)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:GILES
Last Name:HARPER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 GILES RD NE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30821-2000
Mailing Address - Country:US
Mailing Address - Phone:706-533-3507
Mailing Address - Fax:
Practice Address - Street 1:1446 HARPER ST # BP3104
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0012
Practice Address - Country:US
Practice Address - Phone:706-721-0579
Practice Address - Fax:706-721-0579
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN228017363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care