Jason David Villa, PA-C
NPI #1629436548 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1629436548
- Entity Type
- Individual
- Name
- Jason David Villa, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 6, 2016
- Last Updated
- Dec 1, 2025
Practice Location
- Address
- 1090 CRANSTON ST
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02920-7323
- Phone
- (401) 943-1981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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