| Doctor Name: | MS. JOSELYN GHULAM |
| NPI Number: | 1992137277 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 17854 |
| Business Practice Address: | 486 S Florence Ave Jellico, TN - 377622382 |
| Business Phone Number: | 4237849203 |
| Business Fax Number: | 4237849203 |
| Mailing Address: | Po Box 274, JELLICO |
| State: | TN |
| Postal Code: | 377620274 |
| Phone Number: | 4237849203 |
| Fax Number: | 4237844647 |
| NPI Enumeration Date: | 08/08/2013 |
| NPI Last Update Date: | 08/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 17854 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |