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Individual

JILL MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16801-5602
(814) 231-7000
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058856
PA
363AM0700X
Medical Physician Assistant
MA058856
PA

Other

Enumeration date
02/17/2017
Last updated
07/21/2022
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