| Doctor Name: | MRS. JESSICA GARLAND JOSEPH |
| NPI Number: | 1043440134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | F0609417 |
| Business Practice Address: | 177 Chalan Pasaheru Ste C Tamuning, GU - 969134161 |
| Business Phone Number: | 6716476201 |
| Business Fax Number: | 6716494507 |
| Mailing Address: | 177a Chalan Pasaheru, Suite F TAMUNING |
| State: | GU |
| Postal Code: | 96913 |
| Phone Number: | 6716476201 |
| Fax Number: | 6716494507 |
| NPI Enumeration Date: | 07/22/2009 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0609417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |