| NPI | 1538401443 |
|---|---|
| Other Name | JAMIE KAYLA VANCLEAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY TC035) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 006756) |
| 363AM0700X Physician Assistant, Medical (Licence: KY TC035) | |
| 363AS0400X Physician Assistant, Surgical (Licence: KY TC035) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2025-06-10 |