Individual provider · Type 1 NPI

Jasmine McMillon, PA

Surgical Physician Assistant · Rochester, NY

NPI number 1407417686 Active

Practice location

1000 South Ave
Rochester, NY 14620-2733

Call (585) 341-6776 Map

Mailing address

1000 South Ave # 58
Rochester, NY 14620-2733

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X024114 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1407417686

Jasmine McMillon, PA's National Provider Identifier is 1407417686, issued on Jun 27, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rochester, NY. The record was last updated on Oct 9, 2026.