Healthcare Provider Details

I. General information

NPI: 1285305631
Provider Name (Legal Business Name): REBECCA DIGIACINTO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2021
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3718 NORRISVILLE RD STE C
JARRETTSVILLE MD
21084-1419
US

IV. Provider business mailing address

3718 NORRISVILLE RD STE C
JARRETTSVILLE MD
21084-1419
US

V. Phone/Fax

Practice location:
  • Phone: 410-692-5292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number0214782
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: