| NPI | 1588736854 |
|---|---|
| Former Name | JAMIE B ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 005242) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN PA 1462) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-07-22 |