Provider Demographics
NPI:1942733027
Name:IRWIN, JILLIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:
Last Name:IRWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SENTRY LN
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-3013
Mailing Address - Country:US
Mailing Address - Phone:412-401-8118
Mailing Address - Fax:
Practice Address - Street 1:125 MEDICAL PARK LN STE H
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6921
Practice Address - Country:US
Practice Address - Phone:828-837-3525
Practice Address - Fax:828-837-6923
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-03110207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine