| NPI | 1336543859 |
|---|---|
| Former Name | JENNA DENISE HIGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1931) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY TC332) |
| 363A00000X Physician Assistant (Licence: KY TC332) | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2019-08-22 |