Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill O. Dutra, PA-C

Individual provider Medical Physician Assistant · NPI 1679098818

Jill O. Dutra, PA-C is a Physician Assistant in Dover, New Hampshire. Qualified in 2017, 9 years ago. Practices with Wentworth Douglass Physician Corporation, a 431-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
9
Licensed in
NH
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

770 Central Ave
Dover, NH 03820-3437
Phone: (603) 742-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1291 (NH)

Record details

NPI number1679098818
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 9, 2017
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wentworth Douglass Physician Corporation — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dover