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

Jillian Rose Booth, PA-S

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396673794

Jillian Rose Booth, PA-S is a Student in an Organized Health Care Education/Training Program in Norfolk, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

825 Fairfax Ave
Norfolk, VA 23507-1914
Phone: (757) 446-5600
Show map & directions

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 (VA)

Record details

NPI number1396673794
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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