| NPI | 1639487762 |
|---|---|
| Former Name | JESSICA E MCLENNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1341) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4694) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2015-03-19 |