| NPI | 1427325638 |
|---|---|
| Former Name | JEANETTE C. ALCORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5411) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001343A) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2022-07-21 |