Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSIE ITTIARA, P.A.
ActiveJESSIE ITTIARA, P.A. is a Physician Assistant healthcare provider located in ANN ARBOR, Michigan. NPI 1912081928 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ANN ARBOR, MI
Registration Details
- NPI Number
- 1912081928
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2006 (19.798504882793 yrs)
- Last Updated
- Mar 7, 2023
- License
-
5601003513 (MI)
Practice Information
- Address
-
2006 HOGBACK RDSUITE 5AANN ARBOR, MI, 481059750Browse MI providers · Browse ZIP 48105
- Phone
- 7347862317
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ANN ARBOR, MI
| Name | Credential | NPI |
|---|---|---|
| JANET TERESA HULBERT | PA-C | 1437156528 |
| ELIZABETH CAROL DUBOIS | PAC | 1821096074 |
| ANDREA RAE BOTTERILL | PA | 1356343370 |
| MARTIN L BOND | PA | 1245226364 |
| HEATHER MARIE FOX | PA | 1437146297 |
| LAURA E DURECKA | PA-C | 1871575712 |
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.