Individual
JILLIAN HODANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1240 S CEDAR CREST BLVD STE 401, ALLENTOWN, PA 18103-6218
(610) 402-7880
(610) 402-7881
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
MA063175
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA063175
STATE LICENSE
PA
Enumeration date
11/09/2021
Last updated
12/30/2025
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