Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jill Widem

Individual provider Speech-Language Pathologist · NPI 1083167993

Jill Widem is a Speech-Language Pathologist in Johns Creek, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016

Practice location Address checks out

775 Ellsborough Ct
Johns Creek, GA 30005-2575
Phone: (404) 518-0944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP007721 (GA)

Record details

NPI number1083167993
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 27, 2016
Last updated in NPPESJuly 27, 2016
Mailing address775 Ellsborough Ct, Johns Creek, GA 30005-2575

Other providers in Johns Creek