Provider Demographics
NPI:1639326853
Name:HILLIGRASS, JENNIFER LYNN (RPA-C)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LYNN
Last Name:HILLIGRASS
Suffix:
Gender:F
Credentials:RPA-C
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Other - First Name:
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Mailing Address - Street 1:776A WATERVLIET SHAKER RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2209
Mailing Address - Country:US
Mailing Address - Phone:518-782-2200
Mailing Address - Fax:518-786-1875
Practice Address - Street 1:776A WATERVLIET SHAKER RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2209
Practice Address - Country:US
Practice Address - Phone:518-782-2200
Practice Address - Fax:518-786-1875
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY010515-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical