JESSIE ITTIARA P.A.
NPI 1912081928
Physician Assistant in Ann Arbor, MI

Active since October 25, 2006
2006 HOGBACK RD, SUITE 5A, ANN ARBOR, MI 48105(734) 786-2317 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessie Ittiara P.a. NPPES

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

JESSIE ITTIARA P.A. (NPI 1912081928) is an individual physician assistant in Ann Arbor, Michigan, licensed in Michigan (5601003513) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1912081928
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSIE ITTIARACredential: P.A.
Location Address2006 HOGBACK RD, SUITE 5AAnn Arbor, MI 48105-9750
Mailing Address2006 Hogback Rd, Suite 5aAnn Arbor, MI 48105-9750 · (734) 786-2317
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1912081928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601003513
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2006 HOGBACK RD, Ann Arbor, MI 48105

Other Identifiers 1

Other5601003513MI · Michigan License

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.

Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Psychiatry & Neurology (Psychiatry)
2006 HOGBACK RD, SUITE 1
ANN ARBOR, MI 48105
Community/Behavioral Health
2006 HOGBACK RD, SUITE 1
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5A
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5A
ANN ARBOR, MI 48105
Psychologist
2006 HOGBACK RD
ANN ARBOR, MI 48105

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 Jessie Ittiara's NPI number?

The NPI number for Jessie Ittiara is 1912081928. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Jessie Ittiara located?

Jessie Ittiara practices at 2006 Hogback Rd Suite 5A, Ann Arbor, MI 48105. The listed phone number is (734) 786-2317.

What is Jessie Ittiara's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jessie Ittiara was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.