Provider Demographics
NPI:1205169372
Name:IVES, JILLIAN M (PA)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:M
Last Name:IVES
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1 S WASHINGTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14614-1134
Mailing Address - Country:US
Mailing Address - Phone:585-325-2280
Mailing Address - Fax:
Practice Address - Street 1:1651 ONEIDA ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-4866
Practice Address - Country:US
Practice Address - Phone:315-793-7600
Practice Address - Fax:315-798-1411
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2023-12-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical