{"npi":"1245335660","type":"NPI-1","status":"active","name":{"display":"Jennifer Illig Pac","other":[{"code":"1","type":"Formerly known as","value":"LONG, JENNIFER MARIE"}],"first":"JENNIFER","last":"ILLIG","middle":"M","credential":"PAC"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"PA","license":"MA052572"}]},"addresses":[{"purpose":"LOCATION","street_1":"1850 E PARK AVE STE 201","city":"STATE COLLEGE","state":"PA","postal_code":"168036706","country_code":"US","phone":"8442784600","fax":"8142351133"},{"purpose":"MAILING","street_1":"1850 E PARK AVE STE 201","city":"STATE COLLEGE","state":"PA","postal_code":"168036706","country_code":"US","phone":"8442784600","fax":"8142351133"}],"license":{"state":"PA","number":"MA052572"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060915000117","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"PA","pac_id":"8820093313"}]},"enumeration_date":"2006-09-13","last_updated":"2018-12-19","_meta":{"source":"NPPES","snapshot_date":"2018-12-19","doc_url":"https://findmynpi.com/api"}}