| NPI | 1134383540 |
|---|---|
| Former Name | JESSICA J TENNANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR0048600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 9395A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL2903) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2020-07-15 |