Provider Demographics
NPI:1295772598
Name:ROSS, JILL MARIE (PAC)
Entity type:Individual
Prefix:MS
First Name:JILL
Middle Name:MARIE
Last Name:ROSS
Suffix:
Gender:F
Credentials:PAC
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Mailing Address - Street 1:501 W OTTERMAN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2126
Mailing Address - Country:US
Mailing Address - Phone:724-850-6945
Mailing Address - Fax:
Practice Address - Street 1:532 W PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2239
Practice Address - Country:US
Practice Address - Phone:724-832-4626
Practice Address - Fax:724-832-4668
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2022-08-25
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Provider Licenses
StateLicense IDTaxonomies
PAMA052174363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant