Individual
JENNIFER M ILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1850 E PARK AVE STE 201, STATE COLLEGE, PA 16803-6706
(844) 278-4600
(814) 235-1133
Mailing address
1850 E PARK AVE STE 201, STATE COLLEGE, PA 16803-6706
(844) 278-4600
(814) 235-1133
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052572
PA
Other
Enumeration date
09/13/2006
Last updated
12/19/2018
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