| NPI | 1487955761 |
|---|---|
| Former Name | JESSICA LYNN SEYMOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 1907) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC770) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2018-10-29 |