Individual provider · Type 1 NPI

Jessica Manzolillo, PAC

Physician Assistant · Wilkes Barre, PA

NPI number 1174504468 Active

Practice location

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040

Call (570) 208-6281 Map

Fax (570) 208-6282

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA051051 (PA)
Physician Assistant Primary 363A00000XMA051051 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174504468

Jessica Manzolillo, PAC's National Provider Identifier is 1174504468, issued on Nov 14, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Jul 31, 2020.