Provider Demographics
NPI:1043709223
Name:LAPOINTE, JILLIAN APRIL (PA)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:APRIL
Last Name:LAPOINTE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 RYDER AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04414-3541
Mailing Address - Country:US
Mailing Address - Phone:865-244-9267
Mailing Address - Fax:
Practice Address - Street 1:180 MAIN RD
Practice Address - Street 2:
Practice Address - City:BROWNVILLE
Practice Address - State:ME
Practice Address - Zip Code:04414-3107
Practice Address - Country:US
Practice Address - Phone:866-366-5842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPAN1792363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant