| NPI | 1477704559 |
|---|---|
| Former Name | JENNIFER JOLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60218759) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 19963) |
| 363AM0700X Physician Assistant, Medical (Licence: CA 19963) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2020-12-31 |