JILLIAN ROSE BOOTH PA-S
NPI 1396673794
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since May 13, 2026
825 FAIRFAX AVE, NORFOLK, VA 23507(757) 446-5600 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jillian Rose Booth Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN ROSE BOOTH PA-S (NPI 1396673794) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1396673794
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJILLIAN ROSE BOOTHCredential: PA-S
Location Address825 FAIRFAX AVENorfolk, VA 23507-1914
Mailing Address825 Fairfax AveNorfolk, VA 23507-1914
Sole ProprietorNo
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
NPI 1396673794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
825 FAIRFAX AVE, Norfolk, VA 23507

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
825 FAIRFAX AVE
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Family Medicine
825 FAIRFAX AVE, SUITE 118
NORFOLK, VA 23507
Nurse Practitioner (Family)
825 FAIRFAX AVE, 118
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillian Booth's NPI number?

The NPI number for Jillian Booth is 1396673794. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Jillian Booth located?

Jillian Booth practices at 825 Fairfax Ave, Norfolk, VA 23507. The listed phone number is (757) 446-5600.

What is Jillian Booth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jillian Booth was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.