| NPI | 1316088719 |
|---|---|
| Former Name | JESSICA L. BARLOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10636) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 10636) |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA05147) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-04-09 |