| NPI | 1497168330 |
|---|---|
| Former Name | JACQUELYNNE NICOLE FLOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9107536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL PA9107536) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-06-11 |