Manzolillo, Jessica

Manzolillo, Jessica is an individual health care provider with primary practice located at 175 S Wilkes Barre Blvd , Wilkes Barre PA 18702-5040. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Manzolillo, Jessica can be contacted via phone (570) 208-6281.

Contact Information

Primary practice address
175 S Wilkes Barre Blvd Wilkes Barre PA 18702-5040
Phone: (570) 208-6281
Fax: (570) 208-6282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA051051 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA051051 Pennsylvania

Profile Details

NPI number 1174504468
LBN Legal business name Manzolillo, Jessica
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 31st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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