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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA MANZOLILLO, PAC

Active

JESSICA MANZOLILLO, PAC is a Physician Assistant healthcare provider located in WILKES BARRE, Pennsylvania. NPI 1174504468 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WILKES BARRE, PA

Registration Details

NPI Number
1174504468
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2005 (20.709670412657 yrs)
Last Updated
Jul 31, 2020
Licenses
MA051051 (PA)
MA051051 (PA)

Practice Information

Address
175 S WILKES BARRE BLVD
WILKES BARRE, PA, 187025040
Browse PA providers · Browse ZIP 18702
Phone
5702086281
Fax
5702086282
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in WILKES BARRE, PA

Name Credential NPI
MRS. LISA M MATTEI PAC 1902889629
MS. DEBORAH BAIRD PA-C 1477527356
NANCY HIXSON PA 1235105560
MARY M AZAREWICZ PA-C 1518933662
ELIZABETH A HREHA PA 1689643413
MS. NATALIE M. HART PA-C 1720057045
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.