NPI 1578897567

Jennifer a Garris, EMTB

Practitioner Basic Emergency Medical Technician Columbia, IL

Practice location

Address: 332a Saint Paul St, Columbia, IL 62236-1872
Phone: (618) 830-0428

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 000385583 (IL)

Other Emergency Medical Technician, Basic providers in Illinois →

Registry record

NPI: 1578897567
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2009
Record last updated: 24 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.