Jillian Marie Roush, PA-C

NPI #1124455266 in West Hazleton, Pennsylvania

Provider Information

NPI Number: 1124455266
Entity Type: Individual
Name: Jillian Marie Roush, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 3, 2013
Last Updated: Aug 24, 2020

Practice Location

Address: 6 DIANA LN
City: West Hazleton
State: Pennsylvania
ZIP Code: 18202-1210
Phone: (570) 501-3760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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