Broderick, Jamilah Aisha

Broderick, Jamilah Aisha is an individual health care provider with primary practice located at 5501 Fortunes Ridge Dr Ste P , Durham NC 27713-6102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Broderick, Jamilah Aisha can be contacted via phone (919) 391-7202.

Contact Information

Primary practice address
5501 Fortunes Ridge Dr Ste P Durham NC 27713-6102
Phone: (919) 391-7202
Fax: (919) 391-7203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-11519 North Carolina

Profile Details

NPI number 1033873294
LBN Legal business name Broderick, Jamilah Aisha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2021
Last updated Jul 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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