Individual provider · Type 1 NPI

Jennifer Lynn Gemellaro, PA-C

Physician Assistant · Troy, MI

NPI number 1619017167 Active

Practice location

44199 Dequindre Rd Ste 311
Troy, MI 48085-1166

Call (248) 964-9490 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	5601004370 (MI)
Medical Physician Assistant	363AM0700X	5601004370 (MI)

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 1619017167

Jennifer Lynn Gemellaro, PA-C's National Provider Identifier is 1619017167, issued on Feb 7, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Troy, MI. The record was last updated on Aug 26, 2026.