NPI 1003342411

Jennifer Gracia Villella, PA

Practitioner Physician Assistant Detroit, MI

Practice location

Address: 2799 W Grand Blvd # K9, Detroit, MI 48202-2608
Phone: (313) 916-4920
Mailing address: 15960 Alpine Dr, Livonia, MI 48154-2542

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601008182 (MI)

Other Physician Assistant providers in Michigan →

Registry record

NPI: 1003342411
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2017
Record last updated: 5 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.