| NPI | 1770880361 |
|---|---|
| Former Name | JESSICA LYNN GEDDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2018) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21455) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2021-05-26 |