JILLIAN O'MELIA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1104415884- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1 DAWN HL, BRISTOL, RI, 028093903
- Phone
- (872) 231-3162
Specialties & Taxonomies
Physician Assistant
Primary License: RI #PA01317
Physician Assistant
License: MA #PA8097