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

Jillian Pavlacka

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801354873

Jillian Pavlacka is a Student in an Organized Health Care Education/Training Program in Mitchellville, Maryland. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

12158 Central Ave
Mitchellville, MD 20721-1932
Phone: (301) 390-3076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1801354873
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2019
Last updated in NPPESMarch 7, 2019
Mailing address405 Forest Bridge Ct, Laurel, MD 20724-2571

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