| NPI | 1568425684 |
|---|---|
| Former Name | DEBORAH A JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA003155L) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 011919) |
| 363AM0700X Physician Assistant, Medical (Licence: ME PA001076) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-12-17 |