National Provider Identifier
Jill M Jolley, PAC
Jill M Jolley, PAC is listed in the NPPES registry with a primary specialty of Physician Assistant in West Seneca, NY and a listed phone number of (716) 712-0670.
Profile Overview
- NPI
- 1548227879
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- April 28, 2006
- Last Updated
- September 23, 2010
Practice Location
- 1900 Ridge RD
- West Seneca, NY 14224-3332
Phone: (716) 712-0670
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1548227879
- Entity Type
- Individual
- Last Name
- Jolley
- First Name
- Jill
- Middle Name
- M
- Credential
- PAC
- Provider Other Last Name
- Wiech
- Provider Other First Name
- Jill
- Provider Other Middle Name
- M
- Provider Other Credential Text
- PAC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1900 Ridge RD
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3332
- Mailing Country
- US
- Mailing Phone
- (716) 712-0670
- Mailing Fax
- (716) 716-0674
- Practice Street Address
- 1900 Ridge RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3332
- Practice Country
- US
- Practice Phone
- (716) 712-0670
- Practice Fax
- (716) 712-0674
- Enumeration Date
- April 28, 2006
- Last Updated
- September 23, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)