IndividualActive
Jill Wireman, MD
NPI 1689679987 · Pediatrics Physician · Gray, TN
Provider details
- NPI number
- 1689679987
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 24447 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
151 Lake Harbor Dr
Gray, TN 37615-2972
Phone: (423) 956-3187
Approximate (ZIP-level) locationGet directions
Mailing address
151 Lake Harbor Dr
Gray, TN 37615-2972
Registry dates
- Enumerated
- 2005-06-15
- Last updated
- 2023-08-07
- Certified
- 2023-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.