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

Jessie Ittiara, PA

Individual provider Physician Assistant · NPI 1912081928

Jessie Ittiara, PA is a Physician Assistant in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2006 Hogback Rd Ste 5A
Ann Arbor, MI 48105-9750
Phone: (734) 786-2317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003513 (MI)

Record details

NPI number1912081928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESMarch 7, 2023

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