1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Physician Assistant
  6. NPI Profile

JOSE ENRIQUE GUILLEN JR. PA-C
NPI 1639524333
Physician Assistant in Atlanta, GA

Active since May 01, 2016
1715 CHILDERLEE LN NE, ATLANTA, GA 30329(503) 442-7307 Get Directions Write a Review

NPPES record last updated: May 1, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jose Enrique Guillen Jr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE ENRIQUE GUILLEN JR. PA-C (NPI 1639524333) is an individual physician assistant in Atlanta, Georgia, licensed in Texas (1132245) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1639524333
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSE ENRIQUE GUILLEN JR.Credential: PA-C
Location Address1715 CHILDERLEE LN NEAtlanta, GA 30329-2434
Mailing Address7921 Bermejo RdFt Worth, TX 76112-6144 · (503) 442-7307
Phone(503) 442-7307
Sole ProprietorYes
Enumeration DateMay 1, 2016
✔ NPI 1639524333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · 1132245
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1715 CHILDERLEE LN NE, Atlanta, GA 30329
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Guillen's NPI number?

The NPI number for Jose Guillen is 1639524333. It was assigned to this individual provider in the NPPES registry on May 1, 2016.

Where is Jose Guillen located?

Jose Guillen practices at 1715 Childerlee Ln NE, Atlanta, GA 30329. The listed phone number is (503) 442-7307.

What is Jose Guillen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jose Guillen was last updated on May 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.