| NPI | 1487028239 |
|---|---|
| Former Name | JESSICA ANN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2025-01-24 |