| NPI | 1346622891 |
|---|---|
| Former Name | JACQUELYN HOWELLS ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC NC0010-05796) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC NC0010-05796) |
| 363A00000X Physician Assistant (Licence: VA 0110005162) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-10-18 |