| NPI | 1689656910 |
|---|---|
| Former Name | DARICE R JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA 949) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 949) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2015-01-23 |