| NPI | 1619419876 |
|---|---|
| Former Name | JESSICA REGINA ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9116741) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11694) |
| 363A00000X Physician Assistant (Licence: NM PA2021-0083) | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2023-02-02 |