Jill C Pease, PHYSICIAN ASSISTANT

NPI #1619951126 in Lafayette, Indiana

Provider Information

NPI Number: 1619951126
Entity Type: Individual
Name: Jill C Pease, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Nov 30, 2005
Last Updated: Jun 16, 2015

Practice Location

Address: 3554 PROMENADE PKWY
Address 2: SUITE H
City: Lafayette
State: Indiana
ZIP Code: 47909-8417
Phone: (765) 471-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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