Individual
JILLIAN CLESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7072 FM 1960 RD E STE 7, HUMBLE, TX 77346-2788
(281) 397-5258
Mailing address
7072 FM 1960 RD E STE 7, HUMBLE, TX 77346-2788
(281) 397-5258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2905
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3618PA
—
SC
Enumeration date
02/22/2018
Last updated
03/17/2023
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