Individual
JILL N ORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
5401 PEACH ST STE 3300, ERIE, PA 16509-2601
(814) 868-7840
(814) 868-2139
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2529
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA050706
PA
363AS0400X
Surgical Physician Assistant
Primary
OA000716
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1524835
HIGHMARK
PA
01
—
P00238259
RAILROAD MEDICARE
—
Enumeration date
04/14/2006
Last updated
08/29/2023
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