NPI age
18 years
Enumerated 2008-07-29
● Active
Type 1 · Individual
Jill Michelle Whitley, PA-C
Whitley is 1 of 36 physician assistant providers in Bryan and 1 of 11,283 in Texas.
Primary specialty
Physician Assistant
Licensed in
NU
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-30
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11283 active physician assistant providers in Texas.
NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2008 → 2025
2008-07Enumerated in NPPES
2008
2025
Where they practice
Practice location
604 E 27th St
Bryan, TX 778034026
Mailing address
604 E 27th St
Bryan, TX 778034026
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 892N51 | BCBS |
| 05 (TX) | 202438205 | |
| 01 (TX) | 1003072174 | TRICARE |
| 05 (TX) | 202438204 |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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