Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jill Widem

Individual provider Speech-Language Pathologist · NPI 1083167993

Jill Widem is a Speech-Language Pathologist in Johns Creek, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016

Practice location Address checks out

775 Ellsborough Ct
Johns Creek, GA 30005-2575
Phone: (404) 518-0944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP007721 (GA)

Record details

NPI number1083167993
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2016
Last updated in NPPESJuly 27, 2016

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