| NPI | 1548505001 |
|---|---|
| Former Name | STEPHANIE MICHELLE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08100) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363AM0700X Physician Assistant Medical (Licence: TX PA08100) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2022-03-21 |