Provider Demographics
NPI:1467002675
Name:SCHMITZ, JILLIAN ALYSE (PA)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:ALYSE
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:ALYSE
Other - Last Name:ROONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1020 KINGS HWY N STE 201
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1906
Mailing Address - Country:US
Mailing Address - Phone:856-602-4000
Mailing Address - Fax:
Practice Address - Street 1:200 BOWMAN DR STE D285
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9626
Practice Address - Country:US
Practice Address - Phone:856-602-4000
Practice Address - Fax:856-946-1747
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant