Individual
JILLIAN PREZKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1155 EAST MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-7916
(570) 808-6006
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-7916
(570) 808-6006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066237
PA
363A00000X
Physician Assistant
MP8302060
PA
Other
Enumeration date
05/26/2023
Last updated
04/01/2025
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