Provider Demographics
NPI:1013748078
Name:GILES-EWELL, JAYLN AVERY
Entity type:Individual
Prefix:
First Name:JAYLN
Middle Name:AVERY
Last Name:GILES-EWELL
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 1:3322 US HIGHWAY 22 STE 1401
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-4407
Mailing Address - Country:US
Mailing Address - Phone:908-224-7727
Mailing Address - Fax:
Practice Address - Street 1:3322 US HIGHWAY 22 STE 1401
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-4407
Practice Address - Country:US
Practice Address - Phone:908-224-7727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program