Individual provider · Type 1 NPI

Jill M. Reisman, PA

Medical Physician Assistant · Lafayette, IN

NPI number 1881617538 Active

Practice location

3900 St Francis Way Ste 200
Lafayette, IN 47905-4940

Call (765) 502-4000 Map

Fax (765) 402-4709

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Other practice locations

  • 1701 S Creasy Ln, Lafayette, IN 47905-4972 · (765) 502-4000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10000734A (IN)
Medical Physician Assistant Primary 363AM0700X10000734A (IN)

Medical Physician Assistant: Definition to come...

23 other providers at this address

Other medical physician assistant providers in Lafayette

See all in Lafayette →

About NPI 1881617538

Jill M. Reisman, PA's National Provider Identifier is 1881617538, issued on Jul 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lafayette, IN. The record was last updated on Jan 8, 2026.