IndividualActive
Jillo Massaquoi, PA-C
NPI 1649296013 · Medical Physician Assistant · Washington, DC
Provider details
- NPI number
- 1649296013
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA052059 (PA)
Mailing address
Po Box 16335
Philadelphia, PA 19114-0435
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2020-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.