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

Jillian Lee Ambrose

Individual provider Athletic Trainer · NPI 1093210064

Jillian Lee Ambrose is an Athletic Trainer in Montrose, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

417 Grow Ave
Montrose, PA 18801-1105
Phone: (814) 865-2725
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT007668 (PA)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093210064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 29, 2018
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address16 Anderson Rd, Harveys Lake, PA 18618-2215

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