Provider Demographics
NPI:1467002675
Name:SCHMITZ, JILLIAN ALYSE (PA)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:ALYSE
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:ALYSE
Other - Last Name:ROONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1 FREDERICK HEALTH WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-9435
Mailing Address - Country:US
Mailing Address - Phone:240-215-6310
Mailing Address - Fax:240-566-7754
Practice Address - Street 1:75 THOMAS JOHNSON DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4895
Practice Address - Country:US
Practice Address - Phone:240-215-6310
Practice Address - Fax:240-566-7754
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0009907363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant