Provider Demographics
NPI:1265722540
Name:GILL, JESSICA E (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:E
Last Name:GILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:985 9TH AVE SW STE 500
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-7814
Mailing Address - Country:US
Mailing Address - Phone:205-481-7750
Mailing Address - Fax:205-481-7755
Practice Address - Street 1:985 9TH AVE SW STE 500
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-7814
Practice Address - Country:US
Practice Address - Phone:205-481-7750
Practice Address - Fax:205-481-7755
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL32373207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL148729Medicaid