Active NPIIndividual provider

Jillian T Crowley, PA-C

Physician Assistant in Bloomfield, Connecticut

NPI Number1992902977
Practice location
711 Cottage Grove RD, Bloomfield, CT 06002-3060
Fax
860-242-3052
Last updated
November 20, 2021

Jillian T Crowley is a Physician Assistant based in Bloomfield, CT. Jillian T Crowley practices in Bloomfield, CT and has the professional credentials of PA-C. The NPI Number for Jillian T Crowley is 1992902977 and holds a License No. 8042 (AZ). The current practice location address for Jillian T Crowley is 711 Cottage Grove RD, Bloomfield, CT 06002-3060 and can be reached out via phone at 860-242-8756 and via fax at 860-242-3052.

Provider Profile Details

NPI Number
1992902977
Provider Name
Jillian T Crowley
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
711 Cottage Grove RD, Bloomfield, CT 06002-3060
Phone Number
860-242-8756
Fax Number
860-242-3052
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2007
Last Update Date
November 20, 2021
Certification Date
November 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
711 Cottage Grove RD
Bloomfield, CT 06002-3060
Zip
06002-3060
Phone Number
860-242-8756
Fax Number
860-242-3052
Bloomfield, CT 06002Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337

License Information

License Number (1)
8042
License State (1)
AZ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
003326
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jillian T Crowley, PA-C?

The NPI number of Jillian T Crowley, PA-C is 1992902977. It was assigned on July 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Jillian T Crowley, PA-C?

Jillian T Crowley, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in AZ under license number 8042.

Where does Jillian T Crowley, PA-C practice?

The practice location is 711 Cottage Grove RD, Bloomfield, CT 06002-3060. The office can be reached at 860-242-8756 (phone) or 860-242-3052 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992902977 directly on the NPPES registry website.

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