Individual
JILLIAN O'MELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DAWN HL, BRISTOL, RI 02809-3903
(872) 231-3162
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
(872) 231-3162
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01317
RI
363A00000X
Physician Assistant
PA8097
MA
Other
Enumeration date
01/15/2021
Last updated
06/01/2026
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