| NPI | 1245424829 |
|---|---|
| Former Name | JENNA MARIE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CT 003290) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: OH 50.002600) |
| 363A00000X Physician Assistant (Licence: OH 50.002600) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2017-09-01 |