Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Manzolillo, PAC

Individual provider Medical Physician Assistant · NPI 1174504468

Jessica Manzolillo, PAC is a Medical Physician Assistant in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Phone: (570) 208-6281
Fax: (570) 208-6282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA051051 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA051051 (PA)

Record details

NPI number1174504468
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 14, 2005
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020

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