| NPI | 1770890444 | 
|---|---|
| Former Name | JESSICA A TUMLINSON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA-2212) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA TA60185752) | 
| Enumeration Date | 2010-09-01 | 
| Last Update Date | 2022-01-21 |