National Provider Identifier

Jillian Elizabeth Digiovanna, PA

Jillian Elizabeth Digiovanna, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4200.

NPI 1518423052Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1518423052
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
February 20, 2019
Last Updated
April 20, 2023

Practice Location

  • 1415 Portland Ave
  • Rochester, NY 14621-3038

Phone: (585) 922-4200

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1518423052
Entity Type
Individual
Last Name
Digiovanna
First Name
Jillian
Middle Name
Elizabeth
Credential
PA
Provider Other Last Name
Foster
Provider Other First Name
Jillian
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-0553
Practice Street Address
1415 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3038
Practice Country
US
Practice Phone
(585) 922-4200
Enumeration Date
February 20, 2019
Last Updated
April 20, 2023
Sex
Female
Sole Proprietor
No
Certification Date
April 20, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
Other Identifiers
14413853 (NY, Caqh)