| NPI | 1275041220 |
|---|---|
| Former Name | JESSICA MARIE BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA230045) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60824982) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2026-06-22 |