Provider Demographics
NPI:1235726886
Name:PARSHALL, JILLIAN JOY (NP)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:JOY
Last Name:PARSHALL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6228 STID HILL RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:NY
Mailing Address - Zip Code:14512-9102
Mailing Address - Country:US
Mailing Address - Phone:585-245-1615
Mailing Address - Fax:
Practice Address - Street 1:229 PARRISH ST STE 200
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1791
Practice Address - Country:US
Practice Address - Phone:585-275-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310079208800000X
NYF310079-01363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No208800000XAllopathic & Osteopathic PhysiciansUrology