| NPI | 1437278140 |
|---|---|
| Former Name | JENNIFER E. TEAGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 13024) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC PA2482) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2025-10-20 |