| NPI | 1740426790 |
|---|---|
| Former Name | JESSICA K NEWTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7115) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 1496) |
| 363AM0700X Physician Assistant, Medical (Licence: MD C0002927) | |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2024-11-19 |